Jerri Lynn Maddox, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18203 Issued in TX

Practice address

2301 Ohio Dr Ste 130
Plano, TX 75093-3997

Phone

(972) 964-1500

Fax

(972) 964-1200

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1649660150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 TALON CT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705851",
            "telephone_number": "214-732-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933997",
            "telephone_number": "972-964-1500",
            "fax_number": "972-964-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "JERRI",
        "middle_name": "LYNN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Mackenzie, M.D.
• Ava Mae Macmiller, MS, CF-SLP
• Jessica Macwan
• Alia Habib Madani, PA
• Eric Anthony Madden, MD
• Stacey Lynn Maddox, APRN, FNP-C
• Made 2 Connect LLC
• Anita Naik Madhav, DDS
• Venkatesh Vasantha Madhav, MD
• Madhuri Guidpaty MD P.L.L.C

• Speech-Language Pathologist in Plano, TX
• Providers in Plano, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.