Honda Ssa

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

HONDA SSA

Practice address

1100 Avenue K
Shallowater, TX 79363-5768

Phone

(806) 832-4531

Fax

(806) 832-1898

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerry Etchison

Title

Director

Phone

(806) 832-4531

Specialties & licenses 1

Addresses

Tax ID family

Honda Ssa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shallowater Isd

  • Local Education Agency (LEA)
  • Shallowater, TX
  • NPI 1518005958
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annie Ellesa Hall-Gailey, CCC-SLP

  • Speech-Language Pathologist
  • Shallowater, TX
  • NPI 1568108116
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1043407471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 AVENUE K",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635768",
            "telephone_number": "806-832-4531",
            "fax_number": "806-832-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 AVENUE K",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635768",
            "telephone_number": "806-832-4531",
            "fax_number": "806-832-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONDA SSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "ETCHISON",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-832-4531"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Michelle Franklin, M.S. CCC-SLP
• Heather K Frazier, LMFT-ASSOCIATE
• Renee Gillson, OT
• Annie Ellesa Hall-Gailey, CCC-SLP
• Kristy Jane Harrist, LPC-I
• Stacy Jerome
• Timothy David Kelly
• Alicia Kelso
• Kriss Teen Morrow, FNP-BC
• Randy C. Ray, RPH

• Local Education Agency (LEA) in Shallowater, TX
• Providers in Shallowater, TX by specialty
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.