Individual provider Active NPI

Danielle Eager Hendrix, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1982113304
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115303 Issued in TX
Practice address
7500 N Beach St
Fort Worth, TX 76137-1505
Phone
(817) 514-6333
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 115303 TX Primary

Addresses

Primary practice location

7500 N Beach St
Fort Worth, TX 76137-1505

Mailing address

7500 N Beach St
Fort Worth, TX 76137-1505
Phone (817) 514-6333

Other practice location 1

649 E Grand Ave
Escondido, CA 92025-4402
Phone (760) 747-1275

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
27552CAMDOccupational Therapist
115303TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keneks Therapy, Speech Therapy Corporation Single Specialty PastSince Sep 5, 2018 Accepting new patients
Maram F Zakko, MD Inc Single Specialty Past Accepting new patients

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1982113304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-514-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-514-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254402",
            "country_code": "US",
            "telephone_number": "760-747-1275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "DANIELLE",
        "middle_name": "EAGER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115303",
            "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 Apr 25, 2019; 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.