Active NPI
Janice Kwon
- Speech-Language Pathologist
- Lewisville, TX
National Provider Identifier
1699276840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113315
- Practice address
- 360 Long Meadow Way
Lewisville, TX 75056-4333 - Phone
- (972) 765-6745
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 113315 | TX | Primary |
Addresses
Primary practice location
360 Long Meadow Way
Lewisville, TX 75056-4333
Mailing address
360 Long Meadow Way
Lewisville, TX 75056-4333
Phone (972) 765-6745
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | janice@mypacetherapy.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mypace Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Speech Bridge Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Lewisville, TX
- NPI 1881283422
-
- Speech-Language Pathologist
- The Colony, TX
- NPI 1932025640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1699276840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 LONG MEADOW WAY",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564333",
"telephone_number": "972-765-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 LONG MEADOW WAY",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564333",
"telephone_number": "972-765-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "JANICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113315",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "janice@mypacetherapy.com",
"affiliation": "N",
"address_1": "360 Long Meadow Way",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750564333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.