Individual provider Active NPI

Joan Tucker

  • Speech-Language Pathologist
  • Garland, TX
National Provider Identifier
1649919838
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10288 Issued in TX
Practice address
501 S Jupiter Rd
Garland, TX 75042-7108
Phone
(972) 487-3300
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10288 TX Primary

Addresses

Primary practice location

501 S Jupiter Rd
Garland, TX 75042-7108

Mailing address

9951 Chimney Hill LN
Dallas, TX 75243-2903
Phone (972) 978-4899

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10288TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Therapists LLC Speech-Language Pathologist CurrentSince Jan 31, 2024 Accepting new patients
Access Telecare, PLLC Past Accepting new patients

Locations

318 W FM 544
Ste B1
Murphy, TX 75094
Phone (469) 493-1964

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1649919838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 CHIMNEY HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432903",
            "telephone_number": "972-978-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S JUPITER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427108",
            "telephone_number": "972-487-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.