Olivia Trevino Gonzalez, M.S. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

400 E Main St
Alice, TX 78332-4969

Phone

(361) 396-4029

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Little Lighthouse Childrens Rehab

  • Rehabilitation Clinic/Center
  • Alice, TX
  • NPI 1811260193
  NPD (past)
• Little Lighthouse Childrens Rehab

  • Rehabilitation Clinic/Center
  • Los Fresnos, TX
  • NPI 1942398151
  NPD (past)

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1063299063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1522",
            "city": "PREMONT",
            "state": "TX",
            "postal_code": "783751522",
            "telephone_number": "361-246-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324969",
            "telephone_number": "361-396-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OLIVIA",
        "middle_name": "TREVINO",
        "name_prefix": "Mrs.",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Horses, LLC
• Golden Horizons Hospice Corporation
• Emmanuel Gonzalez, LPTA
• Kazaundra Gonzalez, COTA
• Kimberly Dennise Gonzalez, NP-C
• Pauline B Gonzalez, LCDC
• Melanie Gracia
• David Cabell Gray, MD
• Guadalupe Emergency Medicine Associates, PA
• Regina Guajardo, COTA

• All providers in Alice, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.