SHAREE NICOLE CUPP


Address: 6530 Hawks Creek Ct Ste 107, Fort Worth, TX 76114-1164
Phone: 8174354631

SHAREE NICOLE CUPP (NPI# 1316571003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316571003
Entity Type Individual
Full Name SHAREE NICOLE CUPP
Credential SLP ASSISTANT
Practice Address 6530 Hawks Creek Ct Ste 107
Fort Worth
TX 76114-1164
Mailing Address 4351 Fm 1195
Mineral Wells
TX 76067-0731
Practice Telephone 8174354631
Mailing Telephone 9407450286
Enumeration Date 2020-03-03
Last Update Date 2020-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
36165 TX Speech, Language and Hearing Service Providers

Office Location

Street Address 6530 HAWKS CREEK CT STE 107
City FORT WORTH
State TX
Zip Code 76114-1164

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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134726151 Autumn Kelsey Lee Specialist/Technologist 250 Bens Trl Apt 522, Fort Worth, TX 76120-7000 2020-10-02
1134737448 Jacqueline Marie Martinez Specialist/Technologist 1605 Grady Lee St, Fort Worth, TX 76134-1115 2020-07-22
1194370817 Leslie Loredo Specialist/Technologist 5801 Winifred Dr, Fort Worth, TX 76133-2707 2019-08-08
1689156317 Tiesha Jacquel Swanier Specialist/Technologist 3800 W Risinger Rd, Fort Worth, TX 76123-2346 2018-08-29
1316442916 Keldra Warren Specialist/Technologist 6900 Bayberry Dr, Fort Worth, TX 76137-1740 2018-03-26
1245755438 Felisa Lopez Martinez Specialist/Technologist 3103 Strong Ave, Fort Worth, TX 76105-3946 2017-08-08
1639547979 Irene Belmontes Specialist/Technologist 1000 St. Louis, 102, Fort Worth, TX 76104 2015-09-03
1467713750 Speech Divas Specialist/Technologist 4229 Periwinkle Dr, Fort Worth, TX 76137-3013 2012-06-03
1568665024 Liliana Salgado Specialist/Technologist 3800 El Campo Ave, Fort Worth, TX 76107-4515 2007-06-11
1962615112 Monica Davila Specialist/Technologist 10125 Star Fish St, Fort Worth, TX 76244-5844 2007-05-07
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Competitor

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City FORT WORTH
Zip Code 76114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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