Active NPI
Crystal Farmer
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1780134841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103342
- Practice address
- 3550 Hulen St
Ste D
Fort Worth, TX 76107-6808 - Phone
- (817) 377-2535
- Fax
- (817) 292-0572
- NPI assigned
- Oct 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103342 | TX | Primary |
Addresses
Primary practice location
3550 Hulen St
Ste D
Fort Worth, TX 76107-6808
Mailing address
3550 Hulen St
Ste D
Fort Worth, TX 76107-6808
Phone (817) 377-2535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103342 | Other | TX | TEXAS SPEECH PATHOLOGY LANGUAGE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103342 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Rehab LLC | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1780134841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 HULEN ST",
"address_2": "STE D",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076808",
"telephone_number": "817-377-2535",
"fax_number": "817-292-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 HULEN ST",
"address_2": "STE D",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076808",
"telephone_number": "817-377-2535",
"fax_number": "817-292-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS SPEECH PATHOLOGY LANGUAGE",
"identifier": "103342",
"state": "TX"
}
],
"endpoints": [],
"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 Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.