Individual provider Active NPI

Carolyn Quinones

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1871221572
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
121685 Issued in TX
Practice address
9500 Ray White Rd Ste 200
Fort Worth, TX 76244-9105
Phone
(817) 349-7348
NPI assigned
Aug 10, 2022
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 121685 TX Primary

Addresses

Primary practice location

9500 Ray White Rd Ste 200
Fort Worth, TX 76244-9105

Mailing address

9500 Ray White Rd Ste 200
Fort Worth, TX 76244-9105
Phone (817) 349-7348

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
121685TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare Pediatric Specialist, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

9500 Ray White Rd
Ste 200
Fort Worth, TX 76244
Phone (817) 760-0349

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1871221572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "817-349-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "817-349-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121685",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2025; 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.