Individual provider Active NPI

Eva Marie Pearl, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Allen, TX
National Provider Identifier
1548533946
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104384 Issued in TX
Practice address
259 Country Club Rd
Allen, TX 75002-7643
Phone
(469) 742-8000
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 104384 TX Primary

Addresses

Primary practice location

259 Country Club Rd
Allen, TX 75002-7643

Mailing address

259 Country Club Rd
Allen, TX 75002-7643
Phone (469) 742-8000

Other practice location 1

515 W Main St Ste 111
Allen, TX 75013-8027
Phone (214) 509-6961

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

LicenseStateTypeSpecialty
104384TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lovejoy Isd PastSince Oct 9, 2022 Accepting new patients
Kidz Therapy Zone LLC Past Accepting new patients

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1548533946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 COUNTRY CLUB RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750027643",
            "telephone_number": "469-742-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 COUNTRY CLUB RD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750027643",
            "telephone_number": "469-742-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Main St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750138027",
            "country_code": "US",
            "telephone_number": "214-509-6961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARL",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.