Individual provider Active NPI

Lily Gill

  • Speech-Language Pathologist
  • Benbrook, TX
National Provider Identifier
1053055418
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
114 Sproles Dr Ste 102
Benbrook, TX 76126-3249
Phone
(682) 500-1601
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

114 Sproles Dr Ste 102
Benbrook, TX 76126-3249

Mailing address

8101 Boat Club Rd Ste 160
Fort Worth, TX 76179-3631
Phone (214) 302-9725

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

Practice roles

OrganizationSpecialtyStatusNew patients
Talking Tadpoles, LLC Speech-Language Pathologist CurrentSince Apr 24, 2022 Accepting new patients
Benbrook Family Vision Care PA PastSince Apr 24, 2022 Accepting new patients
Tadpoles Pediatric Therapy Speech-Language Pathologist PastSince Apr 24, 2022 Accepting new patients

Locations

114 Sproles Dr
Ste 102
Benbrook, TX 76126
Phone (682) 500-1601

8101 Boat Club Rd
Ste 160
Fort Worth, TX 76179
Phone (214) 302-9725

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1053055418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD STE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793631",
            "telephone_number": "214-302-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SPROLES DR STE 102",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761263249",
            "telephone_number": "682-500-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "LILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.