Individual provider Active NPI

Carol Varnadore, SLP

  • Speech-Language Pathologist
  • Tyler, TX
National Provider Identifier
1427027747
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
945006 Issued in TX
Practice address
1722 W Front St
Tyler, TX 75702-6823
Phone
(903) 597-5067
Fax
(903) 597-6223
NPI assigned
Mar 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 945006 TX Primary

Addresses

Primary practice location

1722 W Front St
Tyler, TX 75702-6823

Mailing address

1722 W Front St
Tyler, TX 75702-6823
Phone (903) 597-5067

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

LicenseStateTypeSpecialty
945006TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427027747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026823",
            "telephone_number": "903-597-5067",
            "fax_number": "903-597-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026823",
            "telephone_number": "903-597-5067",
            "fax_number": "903-597-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNADORE",
        "first_name": "CAROL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "945006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.