Individual provider Active NPI

Rielly Pebles

  • Speech-Language Pathologist
  • Hurst, TX
National Provider Identifier
1962229054
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119570 Issued in TX
Practice address
6168 Bentridge Dr
Hurst, TX 76054-2615
Phone
(817) 479-7019
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 119570 TX Primary

Addresses

Primary practice location

6168 Bentridge Dr
Hurst, TX 76054-2615

Mailing address

8953 Glendara Dr
North Richland Hills, TX 76182-7535

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
119570TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monkey Mouths, PLLC Speech-Language Pathologist CurrentSince Sep 23, 2024 Accepting new patients
Monkey Ears, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

6168 Bentridge Dr
Hurst, TX 76054
Phone 81747970191016

Organizations & group practices 2

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1962229054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 GLENDARA DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6168 BENTRIDGE DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542615",
            "telephone_number": "817-479-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEBLES",
        "first_name": "RIELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.