Nathaniel Ray Cross, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Tyler, TX
NPI 1801565734 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1801565734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 122194 (TX)
- Practice address
- 2301 S Broadway Ave Ste B10
Tyler, TX 75701-5409 - Phone
- (903) 884-7500
- NPI assigned
- Sep 13, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ap Therapy LLC
Practice addresses (Care Compare)
2055 W Grande Blvd
Tyler, TX 75703-0526
Phone (800) 380-9153
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314003158 | TX | Practitioner - Qualified Speech Language Pathologist | 0244752608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 122194 | TX | Yes |
Addresses
Primary practice location
2301 S Broadway Ave Ste B10
Tyler, TX 75701-5409
Mailing address
487 Wichita St
Bullard, TX 75757-6751
Phone (661) 917-0042
NPI Registry JSON
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1801565734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 WICHITA ST",
"city": "BULLARD",
"state": "TX",
"postal_code": "757576751",
"telephone_number": "661-917-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROADWAY AVE STE B10",
"city": "TYLER",
"state": "TX",
"postal_code": "757015409",
"telephone_number": "903-884-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "NATHANIEL",
"middle_name": "RAY",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "122194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Carlyn Cromer
- Jared Anthony Crook
- Levi Crook
- Cheryl Deeann Crosby
- Melissa Crosman
- Crossroads Counseling of East Texas
- Crossway Family Health Center PLLC
- Mona Crow
- Tina Crow
- Tommy Leigh Crow
All providers in Tyler, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.