Active NPI
Karnisha Mardell Gregory
- Speech-Language Pathologist
- Richmond, TX
National Provider Identifier
1013474576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 35999
- Practice address
- 22703 W Waterlake Dr
Richmond, TX 77406-7669 - Phone
- (832) 453-3471
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 35999 | TX | Primary |
| Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0811X | 35999 | TX |
Addresses
Primary practice location
22703 W Waterlake Dr
Richmond, TX 77406-7669
Mailing address
22703 W Waterlake Dr
Richmond, TX 77406-7669
Phone (281) 762-2394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35999 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1013474576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22703 W WATERLAKE DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067669",
"telephone_number": "281-762-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22703 W WATERLAKE DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067669",
"telephone_number": "832-453-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "KARNISHA",
"middle_name": "MARDELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "35999",
"primary": true
},
{
"code": "364SP0811X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
"state": "TX",
"license": "35999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.