Active NPI
Sparkspeech TX, LLC
- Speech-Language Pathologist
- Carrollton, TX
National Provider Identifier
1588041339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105188
- Legal business name
- SPARKSPEECH TX, LLC
- Practice address
- 1930 E Rosemeade Pkwy
Suite 207
Carrollton, TX 75007-2473 - Phone
- (972) 955-0068
- Fax
- (972) 695-8844
- NPI assigned
- Apr 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin N Minshall, M.S., CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (972) 955-0068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105188 | TX | Primary |
Addresses
Primary practice location
1930 E Rosemeade Pkwy
Suite 207
Carrollton, TX 75007-2473
Mailing address
1930 E Rosemeade Pkwy
Suite 207
Carrollton, TX 75007-2473
Phone (972) 955-0068
Other names 1
- Spark Speech and Language Therapy
National Provider Directory
National Provider DirectoryLocations
1930 E Rosemeade Pkwy
Ste 207
Carrollton, TX 75007
Phone (720) 231-3656
4819 Highway 121
Ste 11
The Colony, TX 75056
Phone (214) 701-5176
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430352000000",
"number": "1588041339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E ROSEMEADE PKWY",
"address_2": "SUITE 207",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072473",
"telephone_number": "972-955-0068",
"fax_number": "972-695-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E ROSEMEADE PKWY",
"address_2": "SUITE 207",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072473",
"telephone_number": "972-955-0068",
"fax_number": "972-695-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARKSPEECH TX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A",
"authorized_official_last_name": "MINSHALL",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "972-955-0068",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spark Speech and Language Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.