ANDREA JENNYS SUSTACHE MEDINA
NPI 1770222028
Speech-Language Pathologist in Fort Worth, TX

Q: What is Andrea Sustache Medina's NPI number?

The NPI number for Andrea Sustache Medina is 1770222028. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Q: What is Andrea Sustache Medina's specialty?

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

Active since June 02, 2022

3813 PERIWINKLE DR, FORT WORTH, TX 76137(787) 983-4456 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Andrea Jennys Sustache Medina NPPES

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

ANDREA JENNYS SUSTACHE MEDINA (NPI 1770222028) is an individual speech-language pathologist provider in Fort Worth, Texas, licensed in Texas (117625) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1770222028

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANDREA JENNYS SUSTACHE MEDINA

Location Address3813 PERIWINKLE DRFort Worth, TX 76137-6046

Mailing Address3813 Periwinkle DrFort Worth, TX 76137-6046 · (787) 983-4456

Phone(787) 983-4456

Sole ProprietorYes

Enumeration DateJune 2, 2022

NPPES CertifiedJune 2, 2022

✔ NPI 1770222028 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 · 117625

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.

3813 PERIWINKLE DR, Fort Worth, TX 76137

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Other Identifiers 1

Medicaid659249401TX

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 Andrea Sustache Medina's NPI number?

The NPI number for Andrea Sustache Medina is 1770222028. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Andrea Sustache Medina located?

Andrea Sustache Medina practices at 3813 Periwinkle Dr, Fort Worth, TX 76137. The listed phone number is (787) 983-4456.

What is Andrea Sustache Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrea Sustache Medina was last updated on June 2, 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.