Active NPI
Cynthia Millikan, M.ED., CCC-SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1366112799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12769
- Practice address
- 9100 S. Hulen
Fort Worth, TX 76123-2701 - Phone
- (817) 263-1250
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12769 | TX | Primary |
Addresses
Primary practice location
9100 S. Hulen
Fort Worth, TX 76123-2701
Mailing address
9621 Trail Map Drive
Crowley, TX 76036
Phone (512) 627-5408
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12769 | Other | TX | TEXAS DEPT. OF LICENSING AND REGULATION |
| 01018727 | Other | AMERICAN SPEECH HEARING ASSOCIATION (ASHA) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cynthia.millikan@crowley.k12.us.tx | Health Information Exchange (HIE) |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12769 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1366112799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 TRAIL MAP DRIVE",
"city": "CROWLEY",
"state": "TX",
"postal_code": "76036",
"telephone_number": "512-627-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 S. HULEN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761232701",
"telephone_number": "817-263-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKAN",
"first_name": "CYNTHIA",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "12769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPT. OF LICENSING AND REGULATION",
"identifier": "12769",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH HEARING ASSOCIATION (ASHA)",
"identifier": "01018727",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cynthia.millikan@crowley.k12.us.tx",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9100 S. Hulen",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761232701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.