Active NPI
Caley Nichole Quinn
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1497324180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114052
- Practice address
- 10405 E Northwest Hwy Ste 302
Dallas, TX 75238-4601 - Phone
- (972) 755-9157
- Fax
- (972) 759-9057
- NPI assigned
- Jun 18, 2021
- 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 | 114052 | TX | Primary |
Addresses
Primary practice location
10405 E Northwest Hwy Ste 302
Dallas, TX 75238-4601
Mailing address
2222 Moser Ave # 115
Dallas, TX 75206-7028
Phone (972) 979-2913
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 |
|---|---|---|---|
| 114052 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid Pro, PLLC | Current | Accepting new patients |
Locations
10405 E Northwest Hwy
Ste 302
Dallas, TX 75238
Phone (972) 755-9157
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.
-
- Hearing and Speech Clinic/Center
- Dallas, TX
- NPI 1306304753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1497324180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 MOSER AVE # 115",
"city": "DALLAS",
"state": "TX",
"postal_code": "752067028",
"telephone_number": "972-979-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10405 E NORTHWEST HWY STE 302",
"city": "DALLAS",
"state": "TX",
"postal_code": "752384601",
"telephone_number": "972-755-9157",
"fax_number": "972-759-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "CALEY",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.