Individual provider Active NPI

Deniedra Fontenette, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Midlothian, TX
National Provider Identifier
1700119872
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100910 Issued in TX
Practice address
3841 Karen Rd
Midlothian, TX 76065-2362
Phone
(817) 798-9040
NPI assigned
Sep 8, 2009
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100910 TX Primary

Addresses

Primary practice location

3841 Karen Rd
Midlothian, TX 76065-2362

Mailing address

3841 Karen Rd
Midlothian, TX 76065-2362
Phone (817) 798-9040

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
100910TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Speech Services Speech-Language Pathologist PastSince May 18, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1700119872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 KAREN RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652362",
            "telephone_number": "817-798-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 KAREN RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652362",
            "telephone_number": "817-798-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENETTE",
        "first_name": "DENIEDRA",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.