Speech Divas

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19126 Issued in TX

Legal business name

SPEECH DIVAS

Practice address

4229 Periwinkle Dr
Fort Worth, TX 76137-3013

Phone

(469) 834-5742

NPI assigned

Jun 3, 2012

Organization subpart

No

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

Authorized official

Name

Kathy Ann Park, M.S., CCC-SLP

Title

Speech-Language Pathologist

Phone

(817) 371-3353

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Leigh Williams

  • Speech-Language Assistant
  • Fort Worth, TX
  • NPI 1891045480
  NPD (past)

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338681600000",
    "number": "1467713750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 PERIWINKLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373013",
            "telephone_number": "469-834-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 PERIWINKLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373013",
            "telephone_number": "469-834-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH DIVAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-06-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "817-371-3353",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33891",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dave S Spear, MD
• Joann Marie Spears, RN
• Specialeyes Optical, LLC
• Spectrum Monitoring PLLC
• Spectrum Support Center, LLC
• Speech Up
• Hannah Speight
• Elizabeth Speights, LMFT
• Adriana E Speiker, LPC
• Lauri Speirs, RN, ACNS-BC

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; 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.