White Bridle Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105226 Issued in TX

Legal business name

WHITE BRIDLE THERAPY

Practice address

660 Keller Smithfield Rd
Keller, TX 76248-4228

Phone

(972) 940-0900

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Brooke Bullin

Title

Owner

Phone

(972) 740-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White Bridle Humane Society Other name

Tax ID family

White Bridle Humane Society2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White Bridle Humane Society

  • Developmentally Disabled Services Day Training Agency
  • Irving, TX
  • NPI 1336564558
  NPD tax ID

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1689084121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 THOMPSON ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617218",
            "telephone_number": "972-740-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KELLER SMITHFIELD RD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484228",
            "telephone_number": "972-940-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BRIDLE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "BULLIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-740-0900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0097ZN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Bridle Humane Society",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Grace Welsh
• Andrea Wesenberg
• April West, LPC
• Emily R Whisman, DC
• White Bridle Learning and Therapy
• White Diamond Anesthesia PLLC
• Anna G White, M.D.
• Christina Leigh White
• Michael A White, MD
• Noah Lyons Whited

• Speech-Language Pathologist in Keller, TX
• Providers in Keller, 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 May 6, 2014; 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.