Active NPI
Lindsey Paige Harris, M.A.
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1639623945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- C-6019
- Practice address
- 4744 Warren Ave Apt 105
Fort Worth, TX 76115-3100 - Phone
- (575) 317-8620
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | C-6019 | NM | Primary |
Addresses
Primary practice location
4744 Warren Ave Apt 105
Fort Worth, TX 76115-3100
Mailing address
4744 Warren Ave Apt 105
Fort Worth, TX 76115-3100
Phone (575) 317-8620
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6019 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1639623945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4744 WARREN AVE APT 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761153100",
"telephone_number": "575-317-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4744 WARREN AVE APT 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761153100",
"telephone_number": "575-317-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LINDSEY",
"middle_name": "PAIGE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C-6019",
"primary": true
}
],
"identifiers": [],
"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 Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.