Active NPI
Toni A Gross, MA, SLP
- Speech-Language Pathologist
- Las Cruces, NM
National Provider Identifier
1104065101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1588
- Practice address
- 1512 Fairway Village Dr
Las Cruces, NM 88007-4829 - Phone
- (575) 312-8576
- Fax
- (517) 338-6196
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1588 | NM | Primary |
Addresses
Primary practice location
1512 Fairway Village Dr
Las Cruces, NM 88007-4829
Mailing address
1512 Fairway Village Dr
Las Cruces, NM 88007-4829
Phone (575) 312-8576
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1588 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1104065101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 FAIRWAY VILLAGE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880074829",
"telephone_number": "575-312-8576",
"fax_number": "517-338-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 FAIRWAY VILLAGE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880074829",
"telephone_number": "575-312-8576",
"fax_number": "517-338-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "TONI",
"middle_name": "A",
"credential": "MA, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.