NPIMap

Organization Active NPI

Epic Strides Speech

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1467054304
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EPIC STRIDES SPEECH
Practice address
4105 W Spring Creek Pkwy Ste 602
Plano, TX 75024-5306
Phone
(972) 596-0035
Fax
(972) 596-8080
NPI assigned
Nov 16, 2020
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mandi Redmon, LBANPI 1891150140
Title
Co-Owner
Phone
(940) 230-9498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

4105 W Spring Creek Pkwy Ste 602
Plano, TX 75024-5306

Mailing address

4105 W Spring Creek Pkwy Ste 602
Plano, TX 75024-5306
Phone (972) 596-0035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1467054304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY STE 602",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245306",
            "telephone_number": "972-596-0035",
            "fax_number": "972-596-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY STE 602",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245306",
            "telephone_number": "972-596-0035",
            "fax_number": "972-596-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC STRIDES SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "940-230-9498",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.