Carley Elaine Thompson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114923 Issued in TX

Practice address

215 NE 14TH St
Fort Worth, TX 76164-8901

Phone

(817) 814-5400

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1891277331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 RYAN PLACE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103127",
            "telephone_number": "678-457-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NE 14TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648901",
            "telephone_number": "817-814-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLEY",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891277331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Thompson, LVN
• Ashleigh Thompson, PHAMRD
• Bianca Thompson
• Brionne' Dominique Thompson, DO
• Candis M Thompson, LVN
• Carolyn J Thompson, LCSW
• Cindy M Thompson, O.T.
• Cynthia A. Thompson, LPC
• Dana Lauren Thompson, PHARMD
• Dionni Thompson, RD, LD

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.