Emily Anne Gaume

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107748 Issued in TX

Practice address

1000 Saint Louis Ave Ste 102
Fort Worth, TX 76104-3377

Phone

(270) 316-9474

NPI assigned

Nov 12, 2021

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1023774171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 GREENWOOD LN",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516718",
            "telephone_number": "270-316-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043377",
            "telephone_number": "270-316-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUME",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "107748",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "14061987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donicha Barbara Gatewood, LVN
• Madison Gatewood
• Michele Gaudette, RN,IBCLC
• Elsie Ann Gaudreault, LPC
• Madeleine Gault
• Ashmita Gautam
• Manjushree Gautam, M.D.
• Pradip Gautam, MD
• Sarah L Gautier, COTA
• Shaila Sampat Gavande, MD

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 12, 2021; 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.