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CHRISTINE MCCLARY JIMENEZ M.S. CCC-SLP
NPI 1669111555
Speech-Language Pathologist in Fort Worth, TX

Active since May 31, 2022
3214 CLINTON AVE, FORT WORTH, TX 76106(817) 815-0700 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christine Mcclary Jimenez M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE MCCLARY JIMENEZ M.S. CCC-SLP (NPI 1669111555) is an individual speech-language pathologist provider in Fort Worth, Texas, licensed in Texas (112770) and active in the NPI registry since May 2022. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1669111555
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCHRISTINE MCCLARY JIMENEZCredential: M.S. CCC-SLP
Location Address3214 CLINTON AVEFort Worth, TX 76106-5858
Mailing Address1805 Mapleleaf StFort Worth, TX 76111-1542
Phone(817) 815-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1669111555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 112770
Definition
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.
3214 CLINTON AVE, Fort Worth, TX 76106
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Other Identifiers 1

Medicaid659249401TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Mcclary Jimenez M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062916620
PECOS Enrollment IDI20250917001295, I20250918002218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Jimenez's NPI number?

The NPI number for Christine Jimenez is 1669111555. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Christine Jimenez located?

Christine Jimenez practices at 3214 Clinton Ave, Fort Worth, TX 76106. The listed phone number is (817) 815-0700.

What is Christine Jimenez's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Christine Jimenez enrolled in Medicare?

Yes. Christine Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Jimenez was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.