Gabriela Prince

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17903 Issued in CA

Practice address

6207 Sheridan Ave
Austin, TX 78723-1060

Phone

(512) 454-3743

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Any Baby Can of Austin, Inc.

  • Developmental Disabilities Clinic/Center
  • Austin, TX
  • NPI 1487783379
  NPD
• Total Education Solutions Inc

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1659535052

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1013050038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060",
            "telephone_number": "512-454-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "86490T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126129901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212862-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primo Performance and Rehabilitation, Inc.
• Jane Elizabeth Prince Maclean, LCSW-S
• Samantha Riquel Prince-Perez, RD, LD
• Dianna Prince
• Emily A Prince, LCSW
• Joseph Prince
• Kevin Jostan Prince, PH.D.
• Madison Prince
• Angelica S Prindle, LPC
• Courtney Tenille Pringle

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.