Active NPI
Audrey Powell
- Speech-Language Pathologist
- Richardson, TX
National Provider Identifier
1366755977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105908
- Practice address
- 1112 N Floyd Rd
Suite 9
Richardson, TX 75080-4243 - Phone
- (972) 470-5855
- NPI assigned
- Jul 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 105908 | TX | Primary |
Addresses
Primary practice location
1112 N Floyd Rd
Suite 9
Richardson, TX 75080-4243
Mailing address
2620 Stonelake Dr
Apt 621
Grand Prairie, TX 75050-8787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105908 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279929600000",
"number": "1366755977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 STONELAKE DR",
"address_2": "APT 621",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750508787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 N FLOYD RD",
"address_2": "SUITE 9",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804243",
"telephone_number": "972-470-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "AUDREY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-24",
"last_updated": "2010-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.