Individual provider Active NPI

Anne Elizabeth Williamson, CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1760027197
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112718 Issued in TX
Practice address
10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506
Phone
(817) 431-9000
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 112718 TX Primary

Addresses

Primary practice location

10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506

Mailing address

3125 Sondra Dr Apt 203
Fort Worth, TX 76107-7710

Other practice location 1

111 Larson Ln
Aledo, TX 76008-4589
Phone (817) 431-9000

Other practice location 2

2011 Broadway St Ste 130
Pearland, TX 77581-5945
Phone (888) 449-0039

Other identifiers 1

IdentifierTypeStateIssuer
112718OtherTXSPEECH THERAPY LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.beelievepediatrictherapy.com
Other URL www.beelievepediatrictherapy.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

State licenses

LicenseStateTypeSpecialty
112718TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beelieve Pediatric Therapy Clinic LLC PastSince Dec 22, 2024 Accepting new patients
Riverkids Houston Therapy, LLC PastSince Sep 23, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1760027197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 SONDRA DR APT 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Larson Ln",
            "address_purpose": "LOCATION",
            "city": "Aledo",
            "state": "TX",
            "postal_code": "760084589",
            "country_code": "US",
            "telephone_number": "817-431-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Broadway St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775815945",
            "country_code": "US",
            "telephone_number": "888-449-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY LICENSE",
            "identifier": "112718",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "111 Larson Ln",
            "city": "Aledo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760084589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "10640 N Riverside Dr Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762449506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.