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

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.

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 (56 clinicians)

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Speech-Language Pathologist Current
since Mar 14, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2025.

{
    "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

All providers in Tyler, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.