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December Frederick

Specialist/Technologist - Speech-Language Assistant β€’ Dallas, TX

Active NPI 1780048546 Individual Practitioner Female Practitioner
Practice location in NPPES

12770 Coit Rd Ste 870
Dallas, TX 752511455

Call 9727560500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12770 Coit Rd Ste 870

Dallas, TX 752511455

Telephone 9727560500
Organization at the Same NPPES Address or Phone
Oci Acquisition Llc Facility NPI 1326297441

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lewisville, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dallas and Texas

244 active clinicians are listed under Specialist/Technologist - Speech-Language Assistant with a practice address in Dallas, TX (3,432 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dallas

0% of these 244 clinicians have the CMS telehealth indicator.

0% of these 244 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-20
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

License # reported to NPPES TX 35413
Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

190 Civic Cir

Lewisville, TX 750673424

Phone: 9722191200

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 20, 2021

Registered at 12770 COIT RD STE 870, DALLAS, TX 752511455 (Tel: 9727560500)

πŸ“
Updated Business Mailing Address July 20, 2021

Registered at 4528 NEWCASTLE DR, FRISCO, TX 750348403 (Tel: 8176801388)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Specialist/Technologist (license number reported to NPPES: TX 35413)

βœ…
NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 07, 2016

Registered at 190 CIVIC CIR, LEWISVILLE, TX 750673424 (Tel: 9722191200)

πŸ“
Business Mailing Address (Initial Record) April 07, 2016

Registered at 6114 N SHILOH RD APT 824, GARLAND, TX 750443783 (Tel: 8176801388)

πŸ‘€
Provider Name / Credentials (Initial Record) April 07, 2016

Recorded as DECEMBER FREDERICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration April 07, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780048546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2016
Last Update: July 20, 2021
Sole Proprietor: Yes

Mailing Address

4528 Newcastle Dr

Frisco, TX 750348403

Phone: 8176801388

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.