Active NPI
Meredith Pierce-Cameron, SLP
- Speech-Language Pathologist
- Burkburnett, TX
National Provider Identifier
1679550701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18091
- Practice address
- 100 N Avenue D
Burkburnett, TX 76354-3509 - Phone
- (940) 569-3326
- Fax
- (940) 766-4943
- NPI assigned
- Dec 29, 2005
- 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 | 18091 | TX | Primary |
Addresses
Primary practice location
100 N Avenue D
Burkburnett, TX 76354-3509
Mailing address
100 N Avenue D
Burkburnett, TX 76354-3509
Phone (940) 569-3326
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1044291 | Other | TX | BLUE LINK # |
| 8T3040 | Other | TX | BCBS PROVIDER # |
| 18091 | Other | TX | HUMANA ID # |
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 |
|---|---|---|---|
| 18091 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1679550701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N AVENUE D",
"city": "BURKBURNETT",
"state": "TX",
"postal_code": "763543509",
"telephone_number": "940-569-3326",
"fax_number": "940-766-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N AVENUE D",
"city": "BURKBURNETT",
"state": "TX",
"postal_code": "763543509",
"telephone_number": "940-569-3326",
"fax_number": "940-766-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE-CAMERON",
"first_name": "MEREDITH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK #",
"identifier": "1044291",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8T3040",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA ID #",
"identifier": "18091",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burkburnett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.