Individual provider Active NPI

Meghan Favia II, SLP

  • Speech-Language Pathologist
  • Arlington, TX
National Provider Identifier
1396277620
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107750 Issued in TX
Practice address
2104 Woodway Dr
Arlington, TX 76017-1639
Phone
(817) 818-0918
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 107750 TX Primary

Addresses

Primary practice location

2104 Woodway Dr
Arlington, TX 76017-1639

Mailing address

2104 Woodway Dr
Arlington, TX 76017-1639
Phone (817) 818-0918

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
107750TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Medical Advantage Healthcare Systems Associated PastSince Jan 22, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1396277620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 WOODWAY DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171639",
            "telephone_number": "817-818-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WOODWAY DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171639",
            "telephone_number": "817-818-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVIA",
        "first_name": "MEGHAN",
        "name_suffix": "II",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.