NPIMap

Organization Active NPI

Pediaplex Management Company LLC

  • Speech-Language Pathologist
  • Southlake, TX
National Provider Identifier
1821374687
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIAPLEX MANAGEMENT COMPANY LLC
Practice address
2425 E Southlake Blvd
Southlake, TX 76092-6942
Phone
(817) 442-0222
Fax
(817) 442-0223
NPI assigned
Oct 25, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonia Renee Kirkpatrick
Title
Ceo
Phone
(817) 442-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2425 E Southlake Blvd
Southlake, TX 76092-6942

Mailing address

2425 E Southlake Blvd Ste 100
Southlake, TX 76092-6675
Phone (817) 442-0222

National Provider Directory

National Provider Directory

Locations

2425 E Southlake Blvd
Southlake, TX 76092
Phone (817) 442-0222

2425 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 442-0222

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1821374687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926675",
            "telephone_number": "817-442-0222",
            "fax_number": "817-442-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926942",
            "telephone_number": "817-442-0222",
            "fax_number": "817-442-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAPLEX MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-442-0222"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.