Active NPI
Audrey Frances Skinner, CCC-SLP
- Speech-Language Pathologist
- Addison, TX
National Provider Identifier
1417734286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118293
- Practice address
- 15601 Dallas Pkwy Ste 125
Addison, TX 75001-3499 - Phone
- (214) 292-9900
- NPI assigned
- Sep 13, 2023
- Last updated
- Sep 13, 2023
- 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 | 118293 | TX | Primary |
Addresses
Primary practice location
15601 Dallas Pkwy Ste 125
Addison, TX 75001-3499
Mailing address
701 Legacy Dr Apt 521
Plano, TX 75023-2235
Phone (979) 446-6484
Other names 1
- Audrey Frances Malone
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 |
|---|---|---|---|
| 118293 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mga Healthcare Texas, LLC | Current | Accepting new patients |
Locations
15601 Dallas Pkwy
Ste 125
Addison, TX 75001
Phone (214) 292-9900
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": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1417734286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LEGACY DR APT 521",
"city": "PLANO",
"state": "TX",
"postal_code": "750232235",
"telephone_number": "979-446-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15601 DALLAS PKWY STE 125",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013499",
"telephone_number": "214-292-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "AUDREY",
"middle_name": "FRANCES",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "MALONE",
"middle_name": "FRANCES",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.