NPI age
3 years
Enumerated 2022-06-02
● Active
Type 1 · Individual
Andrea Jennys Sustache Medina
Sustache Medina is 1 of 714 speech-language pathologist providers in Fort Worth and 1 of 18055 in Texas.
Primary specialty
Speech-Language Pathologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 18055 active speech-language pathologist providers in Texas.
NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
3813 Periwinkle Dr
Fort Worth, TX 761376046
Mailing address
3813 Periwinkle Dr
Fort Worth, TX 761376046
Specialties
-
Speech-Language Pathologist PrimaryThe 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 659249401 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 9 new speech-language pathologist providers have been added in Fort Worth in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.