Active NPI
Maricarmen De la Cruz, MS CCC SLP
- Speech-Language Pathologist
- Flower Mound, TX
National Provider Identifier
1396972691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109917
- Practice address
- 4101 Sharondale Dr
Flower Mound, TX 75022-0957 - Phone
- (817) 908-4909
- NPI assigned
- Jun 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 545 | PR | |
| Speech-Language Pathologist | 235Z00000X | 109917 | TX | Primary |
Addresses
Primary practice location
4101 Sharondale Dr
Flower Mound, TX 75022-0957
Mailing address
4101 Sharondale Dr
Flower Mound, TX 75022-0957
Phone (817) 908-4909
Other practice location 1
3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone (817) 569-4300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8ES496 | Other | TX | BLUE CROSS BLUE SHIELD |
| 109917 | Other | TX | STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
| 337738401 | Medicaid | TX | |
| 545 | Other | PR | PROFESSIONAL LICENSE |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109917 | TX | MD | Pediatric Occupational Therapist |
| 545 | PR | MD | Assistive Technology Practitioner Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Health My Resources of Tarrant County | Past | 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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1376590422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1396972691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 SHARONDALE DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750220957",
"telephone_number": "817-908-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 SHARONDALE DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750220957",
"telephone_number": "817-908-4909"
}
],
"practiceLocations": [
{
"address_1": "3840 Hulen St Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761077269",
"country_code": "US",
"telephone_number": "817-569-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "MARICARMEN",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "545",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8ES496",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "109917",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337738401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "545",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.