Active NPI
Jennifer Meyer, M.A.CCC-SLP
- Speech-Language Pathologist
- Providence Village, TX
National Provider Identifier
1891982161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15154
- Practice address
- 1105 Live Oak Dr
Providence Village, TX 76227-5491 - Phone
- (214) 538-7328
- NPI assigned
- Oct 1, 2007
- 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 | 15154 | TX | Primary |
Addresses
Primary practice location
1105 Live Oak Dr
Providence Village, TX 76227-5491
Mailing address
PO Box 2023
Denton, TX 76202-2023
Phone (940) 384-6238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89166T | Other | TX | BCBS OK |
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 |
|---|---|---|---|
| 15154 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feeding and Dysphagia Resources PC | 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.
-
- Speech-Language Pathologist
- Providence Village, TX
- NPI 1700073079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1891982161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2023",
"city": "DENTON",
"state": "TX",
"postal_code": "762022023",
"telephone_number": "940-384-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 LIVE OAK DR",
"city": "PROVIDENCE VILLAGE",
"state": "TX",
"postal_code": "762275491",
"telephone_number": "214-538-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "JENNIFER",
"credential": "M.A.CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "15154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OK",
"identifier": "89166T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.