Individual provider Active NPI

Shalonda Nicole Williams, SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1508890898
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100445 Issued in TX
Practice address
4364 Western Center Blvd
Fort Worth, TX 76137-2043
Phone
(817) 369-3238
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 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 100445 TX Primary

Addresses

Primary practice location

4364 Western Center Blvd
Fort Worth, TX 76137-2043

Mailing address

4364 Western Center Blvd
Fort Worth, TX 76137-2043
Phone (817) 369-3238

Other practice location 1

15305 Dallas Pkwy Ste 1200
Addison, TX 75001-6423
Phone (214) 316-8386

Other practice location 2

2001 Texan Dr
Justin, TX 76247-8791
Phone (817) 698-1700

Other identifiers 1

IdentifierTypeStateIssuer
1530743-01MedicaidTX

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Word Speech Therapy PLLC Speech-Language Pathologist Current Accepting new patients

Locations

4364 Western Center Blvd
Fort Worth, TX 76137
Phone (585) 472-3412

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1508890898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372043",
            "telephone_number": "817-369-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372043",
            "telephone_number": "817-369-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15305 Dallas Pkwy Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016423",
            "country_code": "US",
            "telephone_number": "214-316-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Texan Dr",
            "address_purpose": "LOCATION",
            "city": "Justin",
            "state": "TX",
            "postal_code": "762478791",
            "country_code": "US",
            "telephone_number": "817-698-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHALONDA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530743-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.