Active NPI
Patrice Stubblefield, SLP
- Speech-Language Pathologist
- Grand Prairie, TX
National Provider Identifier
1972297356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 120958
- Practice address
- 1991 N Hwy 360 Apt 233
Grand Prairie, TX 75050-1463 - Phone
- (832) 373-1212
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 120958 | TX | Primary |
Addresses
Primary practice location
1991 N Hwy 360 Apt 233
Grand Prairie, TX 75050-1463
Mailing address
1991 N Hwy 360 Apt 233
Grand Prairie, TX 75050-1463
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 |
|---|---|---|---|
| 120958 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1972297356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 N HWY 360 APT 233",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750501463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 N HWY 360 APT 233",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750501463",
"telephone_number": "832-373-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBLEFIELD",
"first_name": "PATRICE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "120958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.