Active NPI
Melba A. Moreno-Lofgren, S.L.P.
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1598940835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19858
- Practice address
- 3840 Hulen St Ste 100
Ft Worth, TX 76107-7269 - Phone
- (817) 569-4039
- NPI assigned
- Jan 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19858 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St Ste 100
Ft Worth, TX 76107-7269
Mailing address
647 Saralvo Rd
Midlothian, TX 76065-5780
Phone (817) 913-4107
Other practice location 1
647 Saralvo Rd
Midlothian, TX 76065-5780
Phone (972) 937-7277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193433302 | Medicaid | TX | |
| 8T7491 | Other | TX | BLUE CROSS BLUE SHIELD TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19858 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Health My Resources of Tarrant County | Past | Accepting new patients | |
| My Health My Resources of Tarrant County | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MHMR of Tarrant County
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1376590422
-
dba MHMR of Tarrant County
- Developmental Disabilities Clinic/Center
- Fort Worth, TX
- NPI 1487776217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1598940835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 SARALVO RD",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655780",
"telephone_number": "817-913-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST STE 100",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761077269",
"telephone_number": "817-569-4039"
}
],
"practiceLocations": [
{
"address_1": "647 Saralvo Rd",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "TX",
"postal_code": "760655780",
"country_code": "US",
"telephone_number": "972-937-7277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO-LOFGREN",
"first_name": "MELBA",
"middle_name": "A.",
"credential": "S.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-06",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "19858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193433302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "8T7491",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.