Paige Vidrine, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112365 Issued in TX

Practice address

7500 N Beach St
Fort Worth, TX 76137-1505

Phone

(817) 514-6333

Fax

(817) 514-6334

NPI assigned

Mar 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Paige McMullan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Lone Star Lactation

  • Lactation Consultant (Registered Nurse)
  • Keller, TX
  • NPI 1437032729

  Lactation Consultant, Non-RN

  NPD (past)
• The Feeding Connection, LLC

  • Speech-Language Pathologist
  • Keller, TX
  • NPI 1164202891

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1679013155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14517 MEADOWLAND CIR",
            "city": "NEWARK",
            "state": "TX",
            "postal_code": "760719103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-514-6333",
            "fax_number": "817-514-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14517 Meadowland Cir",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "TX",
            "postal_code": "760719103",
            "country_code": "US",
            "telephone_number": "817-381-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "PAIGE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "L-318371",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "MCMULLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victory First Assistants, LLC
• Victory Injury Centers
• Victory Medical Center Fort Worth, LP
• Natalie Vidal Jimenez, MD
• Austin Vidrine, DPT
• Amanda A Viehmann, APRN
• Vieprecieuses
• Michele Ann Viere
• Rita Vigil, LMFT
• Mary Elizabeth Viglas-Eckles, APRN

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, 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 Mar 19, 2026; 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.