Active NPI
Audrey Mae Secord, SLP-ASSISTANT
- Speech-Language Assistant
- Dallas, TX
National Provider Identifier
1912631268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 11904345
- Practice address
- 12770 Coit Rd Ste 870
Dallas, TX 75251-1455 - Phone
- (972) 756-0500
- NPI assigned
- Jul 13, 2022
- 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 Assistant | 2355S0801X | 11904345 | TX | Primary |
Addresses
Primary practice location
12770 Coit Rd Ste 870
Dallas, TX 75251-1455
Mailing address
12770 Coit Rd Ste 870
Dallas, TX 75251-1455
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 |
|---|---|---|---|
| 11904345 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oci Acquisition LLC | Current | Accepting new patients |
Locations
12770 Coit Rd
Ste 870
Dallas, TX 75251
Phone (972) 765-0500
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": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1912631268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12770 COIT RD STE 870",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12770 COIT RD STE 870",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511455",
"telephone_number": "972-756-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECORD",
"first_name": "AUDREY",
"middle_name": "MAE",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "11904345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Amy Jo Secker, MS, LPC-ASSOCIATE
- Second Chances Counseling and Wellness LLC
- Second Home Adult Care
- John William Secor, M.D.
- Lydia C. Secor, WHCNP
- Leslie H Secrest, M.D.
- Secure Haven Adult Day Care, Inc.
- Secure Patient Delivery of Texas, LLC (SPD of Texas)
- Secure Transportation (Secure Ambulance)
- Taylor Gomaa Sedate, MS, RDN, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.