Active NPI
Nicole Schepers
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1881175941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103810
- Practice address
- 701 St Louis St
Fort Worth, TX 76104-7610 - Phone
- (817) 332-9962
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 103810 | TX | Primary |
Addresses
Primary practice location
701 St Louis St
Fort Worth, TX 76104-7610
Mailing address
701 Saint Louis Ave
Fort Worth, TX 76104-3324
Phone (817) 332-9962
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103810 | Other | TX | WELLINGTON OAKS NURSING AND REHABILITATION CENTER |
| 103810 | Medicaid | TX |
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 |
|---|---|---|---|
| 103810 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1881175941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SAINT LOUIS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043324",
"telephone_number": "817-332-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ST LOUIS ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047610",
"telephone_number": "817-332-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEPERS",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLINGTON OAKS NURSING AND REHABILITATION CENTER",
"identifier": "103810",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103810",
"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 Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.