Active NPI
Angela Diane Rexwinkle, M.S.
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1932411824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106622
- Practice address
- 5650 N Riverside Dr # 5650
Suite 150
Fort Worth, TX 76137-2464 - Phone
- (210) 569-5101
- NPI assigned
- Jul 8, 2010
- Last updated
- Feb 24, 2014
- 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 | 106622 | TX | Primary |
Addresses
Primary practice location
5650 N Riverside Dr # 5650
Suite 150
Fort Worth, TX 76137-2464
Mailing address
5650 N Riverside Dr # 5650
Suite 150
Fort Worth, TX 76137-2464
Phone (210) 569-5101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106622 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1932411824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5650 N RIVERSIDE DR # 5650",
"address_2": "SUITE 150",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761372464",
"telephone_number": "210-569-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 N RIVERSIDE DR # 5650",
"address_2": "SUITE 150",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761372464",
"telephone_number": "210-569-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REXWINKLE",
"first_name": "ANGELA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.