Individual provider Active NPI

Pamela Dixon Ferworn, MSLP SLPC CCCSLP

  • Speech-Language Pathologist
  • Spring, TX
National Provider Identifier
1952493496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18623 Issued in TX
Practice address
19627 I-45 North
Suite 105
Spring, TX 77388
Phone
(281) 288-1061
Fax
(281) 288-1081
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 18623 TX Primary

Addresses

Primary practice location

19627 I-45 North
Suite 105
Spring, TX 77388

Mailing address

14403 Twisted Oak LN
Houston, TX 77079
Phone (281) 870-8489

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
18623TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Services Direct 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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952493496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14403 TWISTED OAK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77079",
            "telephone_number": "281-870-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19627 I-45 NORTH",
            "address_2": "SUITE 105",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-288-1061",
            "fax_number": "281-288-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERWORN",
        "first_name": "PAMELA",
        "middle_name": "DIXON",
        "name_prefix": "Mrs.",
        "credential": "MSLP SLPC CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.