Individual provider Active NPI

Lakeisha Brown Fields, SLP

  • Speech-Language Pathologist
  • Duncanville, TX
National Provider Identifier
1700211877
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108116 Issued in TX
Practice address
321 S Cedar Ridge Dr Unit 471
Duncanville, TX 75116-4526
Phone
(972) 649-9903
Fax
(972) 649-9903
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 108116 TX Primary

Addresses

Primary practice location

321 S Cedar Ridge Dr Unit 471
Duncanville, TX 75116-4526

Mailing address

321 S Cedar Ridge Dr Unit 471
Duncanville, TX 75116-4526
Phone (972) 649-9903

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

State licenses

LicenseStateTypeSpecialty
108116TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Speaks Speech Therapy Center Speech-Language Pathologist Current Accepting new patients

Locations

1452 Hughes Rd
Ste 200
Grapevine, TX 76051
Phone (817) 410-5721

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1700211877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S CEDAR RIDGE DR UNIT 471",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164526",
            "telephone_number": "972-649-9903",
            "fax_number": "972-649-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S CEDAR RIDGE DR UNIT 471",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164526",
            "telephone_number": "972-649-9903",
            "fax_number": "972-649-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "LAKEISHA",
        "middle_name": "BROWN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.