Jangmi Paek

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112824 Issued in TX

Practice address

1601 Camino Lago
Irving, TX 75039-3225

Phone

(972) 968-6900

NPI assigned

Jul 30, 2022

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

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.

• Paek Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Irving, TX
  • NPI 1598688459
  NPD (past) Authorized official

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1689300626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 ISLE ROYAL LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633566",
            "telephone_number": "806-787-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CAMINO LAGO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393225",
            "telephone_number": "972-968-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Pearl St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750066120",
            "country_code": "US",
            "telephone_number": "972-968-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEK",
        "first_name": "JANGMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Peace Counseling, LLC
• Johanny Glisel Padilla Sanchez
• Randell Padua, CRNA
• Trushna Padwal, RBT
• Paek Speech Therapy, PLLC
• Shivani Paidimarri
• Pain Care Specialists, PA
• Pain Management Holdings, PA
• Pain Management Physicians of Dallas PLLC
• Pain Management Physicians of Dallas PLLC

• Speech-Language Pathologist in Irving, TX
• Providers in Irving, 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 Jul 30, 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.