NPIMap

Organization Active NPI

Richardson

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1992079032
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107534 Issued in TX
Legal business name
RICHARDSON
Practice address
4350 Sigma Rd Ste 100
Dallas, TX 75244-4421
Phone
(214) 397-5230
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Ann Braceland
Title
Insurance Billing Manager
Phone
(469) 385-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 107534 TX Primary

Addresses

Primary practice location

4350 Sigma Rd Ste 100
Dallas, TX 75244-4421

Mailing address

1701 N Collins Blvd Ste 100
Richardson, TX 75080-3668

National Provider Directory

National Provider Directory
Tax ID family
Launchability4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1992079032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SIGMA RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444421",
            "telephone_number": "214-397-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "BRACELAND",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE BILLING MANAGER",
        "authorized_official_telephone_number": "469-385-7292"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107534",
            "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 Mar 7, 2012; 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.