Active NPI
SLP Neuro Care, PLLC
- Speech-Language Pathologist
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SLP NEURO CARE, PLLC
- Practice address
- 950 E State Highway 114 Ste 160
Southlake, TX 76092-5261 - Phone
- (817) 888-8721
- NPI assigned
- Jul 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Wariari, MHA, MS CCC-SLP
- Title
- Ceo
- Phone
- (612) 743-1519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neurology Physician | 2084N0400X | |||
| Physical Therapist | 225100000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Occupational Therapist | 225X00000X | |||
| Certified Respiratory Therapist | 227800000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
Addresses
Primary practice location
950 E State Highway 114 Ste 160
Southlake, TX 76092-5261
Mailing address
950 E State Highway 114 Ste 160
Southlake, TX 76092-5261
Phone (817) 888-8721
Other names 1
- SLP Neuro Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2600 E Southlake Blvd
Ste 120102
Southlake, TX 76092
Phone (612) 743-1519
2600 E Southlake Blvd
Southlake, TX 76092
950 E State Highway 114
Ste 160123
Southlake, TX 76092
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Southlake, TX
- NPI 1558789677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1346973674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E STATE HIGHWAY 114 STE 160",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925261",
"telephone_number": "817-888-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E STATE HIGHWAY 114 STE 160",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925261",
"telephone_number": "817-888-8721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLP NEURO CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-05",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "WARIARI",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-743-1519",
"authorized_official_credential": "MHA, MS CCC-SLP"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "227800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SLP Neuro Care",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "SLP Neuro Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.