Individual provider Active NPI

Caroline E Haskins, MS-CCC, SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1972233799
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116476 Issued in TX
Practice address
4011 Benbrook Hwy Ste C
Fort Worth, TX 76116-7800
Phone
(817) 386-5500
Fax
(817) 367-9076
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 116476 TX Primary

Addresses

Primary practice location

4011 Benbrook Hwy Ste C
Fort Worth, TX 76116-7800

Mailing address

4011 Benbrook Hwy Ste C
Fort Worth, TX 76116-7800
Phone (817) 386-5500

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
116476TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cowtown Pediatrix Clinic, LLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

4011 Benbrook Hwy
Ste C
Ft Worth, TX 76116
Phone (817) 386-5500

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1972233799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BENBROOK HWY STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167800",
            "telephone_number": "817-386-5500",
            "fax_number": "817-367-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BENBROOK HWY STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167800",
            "telephone_number": "817-386-5500",
            "fax_number": "817-367-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "CAROLINE",
        "middle_name": "E",
        "credential": "MS-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.