NPIMap

Individual provider Active NPI

Jennifer Lynn Speaker, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1699745166
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6736 Issued in TX
Practice address
6100 Lake Worth Blvd
Fort Worth, TX 76135-3703
Phone
(817) 237-3321
Fax
(817) 237-7970
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6736 TX Primary

Addresses

Primary practice location

6100 Lake Worth Blvd
Fort Worth, TX 76135-3703

Mailing address

6100 Lake Worth Blvd
Fort Worth, TX 76135-3703
Phone (817) 237-3321

Other identifiers 2

IdentifierTypeStateIssuer
124382605MedicaidTX
124382602MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jspeaker25951@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000917 TX Practitioner - Family Practice 0749319481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6100 Lake Worth Blvd
Lake Worth, TX 76135-3703
Phone (817) 237-3321

Hospital & facility affiliations

  • DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
  • Accentcare Home Health of Fort Worth Home health agency, Fort Worth, TX, CCN 747526
  • Enhabit Home Health Home health agency, Fort Worth, TX, CCN 679167
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6736TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jun 1, 2010 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jun 1, 2010 Accepting new patients
Texas Health Physicians Group Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4504 Boat Club Rd
Ste 800
Ft Worth, TX 76135
Phone (817) 237-0515

2400 Mall Cir
Ft Worth, TX 76116
Phone (817) 737-7000

6100 Lake Worth Blvd
Lake Worth, TX 76135
Phone (817) 237-3321

Interoperability endpoints

  • Direct secure messaging: jspeaker25951@direct.texashealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1699745166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE WORTH BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353703",
            "telephone_number": "817-237-3321",
            "fax_number": "817-237-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE WORTH BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353703",
            "telephone_number": "817-237-3321",
            "fax_number": "817-237-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124382605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124382602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspeaker25951@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6100 Lake Worth Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761353703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.