Organization Active NPI

Sparkspeech TX, LLC

  • Speech-Language Pathologist
  • Carrollton, TX
National Provider Identifier
1588041339
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105188 Issued in TX
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

Updated by the provider on Apr 30, 2015

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.