Active NPI
Tajia Landrum
- Speech-Language Assistant
- New Caney, TX
National Provider Identifier
1104688779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 43344
- Practice address
- 20290 Park Lake View Dr Apt 4201
New Caney, TX 77357-1987 - Phone
- (864) 347-6988
- NPI assigned
- Jan 29, 2024
- 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 Assistant | 2355S0801X | 43344 | TX | Primary |
Addresses
Primary practice location
20290 Park Lake View Dr Apt 4201
New Caney, TX 77357-1987
Mailing address
20290 Park Lake View Dr Apt 4201
New Caney, TX 77357-1987
Phone (864) 347-6988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43344 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1104688779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20290 PARK LAKE VIEW DR APT 4201",
"city": "NEW CANEY",
"state": "TX",
"postal_code": "773571987",
"telephone_number": "864-347-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20290 PARK LAKE VIEW DR APT 4201",
"city": "NEW CANEY",
"state": "TX",
"postal_code": "773571987",
"telephone_number": "864-347-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "TAJIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "43344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Caney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.