Individual provider Active NPI

Trina Elaine Ard, CCC-SLP

  • Speech-Language Pathologist
  • Ft Worth, TX
National Provider Identifier
1902186398
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18235 Issued in TX
Practice address
5411 Basswood Blvd
Suite 221
Ft Worth, TX 76137-4477
Phone
(817) 514-6333
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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 18235 TX Primary

Addresses

Primary practice location

5411 Basswood Blvd
Suite 221
Ft Worth, TX 76137-4477

Mailing address

1434 Chase Oaks Dr
Keller, TX 76248-7207
Phone (817) 896-2621

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
18235TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jump Start Pediatric Therapy Center, LLC 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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1902186398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 CHASE OAKS DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487207",
            "telephone_number": "817-896-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 BASSWOOD BLVD",
            "address_2": "SUITE 221",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761374477",
            "telephone_number": "817-514-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARD",
        "first_name": "TRINA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.