SPEECH DIVAS (NPI# 1467713750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467713750 |
| Entity Type | Organization |
| Organization Name | SPEECH DIVAS |
| Practice Address |
4229 Periwinkle Dr Fort Worth TX 76137-3013 |
| Practice Telephone | 4698345742 |
| Mailing Telephone | 4698345742 |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2012-06-03 |
| Authorized Official Name | KATHY ANN PARK (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 8173713353 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
33891 | TX | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 19126 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
4229 PERIWINKLE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045480 | Amanda Leigh Williams | Specialist/Technologist | 4229 Periwinkle Dr, Fort Worth, TX 76137-3013 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1174134696 | Meagan Reyneveld | Speech-Language Pathologist | 405 Crawford St Apt 2330, Fort Worth, TX 76104-1395 | 2020-08-10 |
| 1639794902 | Sarah Mayorga | Speech-Language Pathologist | 3645 Gray St Apt 1209, Fort Worth, TX 76177-1721 | 2020-06-12 |
| 1417579558 | Fort Worth Children's Speech and Feeding Therapy, Pllc | Speech-Language Pathologist | 3631 S Hills Ave, Fort Worth, TX 76109-2754 | 2020-05-12 |
| 1518588201 | Korynn Apodaca | Speech-Language Pathologist | 704 Dale Ln Apt 124, Fort Worth, TX 76108-2659 | 2020-05-04 |
| 1487288544 | Robert J Wincowski | Speech-Language Pathologist | 6913 Camp Bowie Blvd Ste 121, Fort Worth, TX 76116-7164 | 2020-02-27 |
| 1154952687 | Shelby Reed | Speech-Language Pathologist | 411 Harrold St Apt 1273, Fort Worth, TX 76107-3141 | 2020-02-03 |
| 1114562857 | Hilary Byatt | Speech-Language Pathologist | 10357 Alta Vista Rd Unit 351, Fort Worth, TX 76244-6559 | 2019-11-15 |
| 1104468156 | Marianne Brawner | Speech-Language Pathologist | 4216 Sarita Dr, Fort Worth, TX 76109-4746 | 2019-10-10 |
| 1801444005 | Kristin Kirkley | Speech-Language Pathologist | 1604 Dakar Rd W, Fort Worth, TX 76116-1818 | 2019-08-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on SPEECH DIVAS.
| 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.