Individual provider Active NPI

Angela Kaye Horn, CCC-SLP

  • Speech-Language Pathologist
  • Crowley, TX
National Provider Identifier
1356574776
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104509 Issued in TX
Practice address
1900 Crowley Pride Dr
Crowley, TX 76036-8535
Phone
(817) 297-5800
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 104509 TX Primary

Addresses

Primary practice location

1900 Crowley Pride Dr
Crowley, TX 76036-8535

Mailing address

3007 Brookwood CT
Grand Prairie, TX 75052-7537
Phone (214) 734-3193

Other names 1

  • Angela Kaye Matthews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104509TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1356574776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 BROOKWOOD CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527537",
            "telephone_number": "214-734-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CROWLEY PRIDE DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760368535",
            "telephone_number": "817-297-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MATTHEWS",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crowley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.