Individual provider Active NPI

Madeline Kirk, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Frisco, TX
National Provider Identifier
1528633120
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118001 Issued in TX
Practice address
4500 Hillcrest Rd Ste 100
Frisco, TX 75035-5419
Phone
(469) 331-9933
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 118001 TX Primary

Addresses

Primary practice location

4500 Hillcrest Rd Ste 100
Frisco, TX 75035-5419

Mailing address

4818 Wills CT
Rowlett, TX 75088-4760
Phone (903) 602-6728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207004017 TX Practitioner - Qualified Speech Language Pathologist 4688023211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Speech Therapy, PLLCGroup PAC ID 4587996459, 5 clinicians

Practice addresses (Care Compare)

4500 Hillcrest Rd
Frisco, TX 75035-5419
Phone (469) 331-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
118001TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Rhythm Specialists PLLC CurrentSince Jun 11, 2023 Accepting new patients
Summit Speech Therapy, PLLC Speech-Language Pathologist CurrentSince Nov 28, 2023 Accepting new patients

Locations

4500 Hillcrest Rd
Ste 140
Frisco, TX 75035
Phone (214) 705-9000

4500 Hillcrest Rd
Ste 100
Frisco, TX 75035
Phone (469) 331-9933

Organizations & group practices 2

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1528633120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 WILLS CT",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884760",
            "telephone_number": "903-602-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST RD STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355419",
            "telephone_number": "469-331-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MADELINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.