NPIMap

Organization Active NPI

University of Houston

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1003362971
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106046 Issued in TX
Legal business name
UNIVERSITY OF HOUSTON
Practice address
18202 Tuscana Shores Dr
Cypress, TX 77433-4116
Phone
(713) 517-2369
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brittney Goodman Pettis
Title
Speech-Language Pathologist
Phone
(713) 517-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 106046 TX Primary

Addresses

Primary practice location

18202 Tuscana Shores Dr
Cypress, TX 77433-4116

Mailing address

18202 Tuscana Shores Dr
Cypress, TX 77433-4116
Phone (713) 517-2369

National Provider Directory

National Provider Directory
Tax ID family
Univ of Houston Optomet12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1003362971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18202 TUSCANA SHORES DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334116",
            "telephone_number": "713-517-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18202 TUSCANA SHORES DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334116",
            "telephone_number": "713-517-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "GOODMAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "713-517-2369",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.