Individual provider Active NPI

Bridget Renee Townsley, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lewisville, TX
National Provider Identifier
1891840294
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102058 Issued in TX
Practice address
400A High School Dr
Lewisville, TX 75057-3635
Phone
(469) 713-5203
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 102058 TX Primary

Addresses

Primary practice location

400A High School Dr
Lewisville, TX 75057-3635

Mailing address

400A High School Dr
Lewisville, TX 75057-3635
Phone (469) 713-5203

Other practice location 1

320 Custer Rd
Richardson, TX 75080-5623
Phone (972) 490-9055 ext. 113

Other identifiers 1

IdentifierTypeStateIssuer
173807201MedicaidTX

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102058TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Warren Center, Inc Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1891840294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400A HIGH SCHOOL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573635",
            "telephone_number": "469-713-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400A HIGH SCHOOL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573635",
            "telephone_number": "469-713-5203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Custer Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750805623",
            "country_code": "US",
            "telephone_number": "972-490-9055 x113",
            "fax_number": "972-490-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSLEY",
        "first_name": "BRIDGET",
        "middle_name": "RENEE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173807201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.