Individual provider Active NPI

Summer Leigh Gruber, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1053892901
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone
(505) 247-4224
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

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

Addresses

Primary practice location

9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579

Mailing address

9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579

Other practice location 1

6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Phone (972) 756-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417001118 NM Practitioner - Qualified Speech Language Pathologist 6709251135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Speech Language and Hearing CenterGroup PAC ID 0941102339, 4 clinicians

Practice addresses (Care Compare)

9500 Montgomery Blvd NE
Suite 215
Albuquerque, NM 87111-2579
Phone 5054407002224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Speech Language and Hearing Center CurrentSince Apr 3, 2023 Accepting new patients

Locations

9500 Montgomery Blvd NE
Ste 215
Albuquerque, NM 87111
Phone (505) 247-4224

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1053892901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY BLVD NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY BLVD NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112579",
            "telephone_number": "505-247-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Slide Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794241311",
            "country_code": "US",
            "telephone_number": "972-756-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "SUMMER",
        "middle_name": "LEIGH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.