Coastal Bend Speech Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103784 Issued in TX

Legal business name

COASTAL BEND SPEECH CLINIC

Practice address

401 N Monroe St
Beeville, TX 78102-4433

Phone

(361) 354-4387

NPI assigned

Feb 20, 2009

Last updated

Feb 20, 2009By 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

Mrs. Jennifer Ann GonzalesNPI 1760620942

Title

Speech Language Pathologist

Phone

(361) 354-4387

Specialties & licenses 1

Addresses

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.

• Jennifer Ann Gonzales, SLP

  • Speech-Language Pathologist
  • Beeville, TX
  • NPI 1760620942
  NPD (past) Authorized official

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1043450737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4866 TAYLOR DR",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781028467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MONROE ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781024433",
            "telephone_number": "361-354-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND SPEECH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "361-354-4387",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christus Spohn Health System Corporation (CHRISTUS Spohn Hospital Beeville)
• Christus Spohn Health System Corporation (CHRISTUS Spohn Medical Clinic Beeville)
• Judy W Cline
• Clinical Partners Beeville
• Coastal Bend Rural Medical Equipment Inc.
• Coastal Bend Spine & Sport, P.C.
• Coastal Bend Urgent Care, LLC (Coastal Bend Long Term Care)
• Coastal Bend Urgent Care, LLC (Beeville Medical Clinic)
• Coastal Plains Endeavors LLC (Coast Plains Surgical Care)
• Community Action Corporation of South Texas (Community Action Health Center Bee)

• Speech-Language Pathologist in Beeville, TX
• Providers in Beeville, 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 Feb 20, 2009; 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.