KYLIE D POPE (NPI# 1558667931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558667931 |
| Entity Type | Individual |
| Full Name | KYLIE D POPE |
| Credential | SLP-INTERN |
| Practice Address |
1617 Park Place Ave Suite 110 Fort Worth TX 76110-1300 |
| Practice Telephone | 8179215020 |
| Practice Fax Number | 8179215022 |
| Mailing Telephone | 8179215020 |
| Mailing Fax Number | 8179215022 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
106485 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149984001 | 05 | |
| TX | 207164901 | 05 |
| Street Address |
1617 PARK PLACE AVE SUITE 110 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114272531 | Vanessa Ann Saenz | Speech-Language Pathologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2012-07-23 |
| 1528323110 | Diana Isabel Sawyer | Speech-Language Pathologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2012-07-10 |
| 1326301961 | Donna Marie Nieswiadomy | Speech-Language Pathologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2012-06-19 |
| 1891090700 | Kelsea F Ciavaglia | Specialist/Technologist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2011-01-24 |
| 1790085090 | Diana Garcia | Speech-Language Pathologist | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2010-11-02 |
| 1700194255 | Marcia Heineman | Occupational Therapist | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2010-09-17 |
| 1932417565 | Heather Brooke Starr | Physical Therapy Assistant | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2010-09-16 |
| 1497062277 | Jennie Gentry | Occupational Therapist | 1617 Park Place Ave, Suite 110, Fort Worth, TX 76110-1300 | 2010-09-01 |
| 1396056289 | Tammy Ray | Occupational Therapy Assistant | 1617 Park Place Ave, # 110, Fort Worth, TX 76110-1300 | 2010-06-25 |
| 1265768543 | Christine E Strong | Specialist/Technologist | 1617 Park Place Ave, #110, Fort Worth, TX 76110-1300 | 2009-10-21 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| 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 |
| 1316571003 | Sharee Nicole Cupp | Specialist/Technologist | 6530 Hawks Creek Ct Ste 107, Fort Worth, TX 76114-1164 | 2020-03-03 |
| 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 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on KYLIE D POPE.
| 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.