Individual provider Active NPI

Lori Nicole Hartgraves, MS, CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1982240222
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112283 Issued in TX
Practice address
13720 Midway Rd Ste 107
Dallas, TX 75244-4313
Phone
(214) 646-1449
Fax
(214) 699-8962
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 112283 TX Primary

Addresses

Primary practice location

13720 Midway Rd Ste 107
Dallas, TX 75244-4313

Mailing address

13720 Midway Rd Ste 107
Dallas, TX 75244-4313
Phone (214) 646-1449

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
112283TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1982240222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 MIDWAY RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444313",
            "telephone_number": "214-646-1449",
            "fax_number": "214-699-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 MIDWAY RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444313",
            "telephone_number": "214-646-1449",
            "fax_number": "214-699-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTGRAVES",
        "first_name": "LORI",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.