Aylin Alexis Heredia

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

43360 Issued in TX

Practice address

4612 David Strickland Rd
Fort Worth, TX 76119-5299

Phone

(620) 214-0837

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1528898301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W LAKE PARK RD APT 806",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573886",
            "telephone_number": "620-214-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 DAVID STRICKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195299",
            "telephone_number": "620-214-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "AYLIN",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "43360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Herbel, DPT
• Kathryn Delea Herber, PHD
• James Francis Herd, MD
• James P Herd, MD
• Chase Richard Herdman, MD
• Joyce Daniela Heredia, DC
• Heritage Adult Day Health Services, Inc.
• Heritage East Adult Daycare Center, Inc.
• Heritage Modern Dentistry, PC
• Martis Herman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.