Individual provider Active NPI

Breanna Gurley, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1144985920
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117099 Issued in TX
Practice address
550 E Ann Arbor Ave
Dallas, TX 75216-6718
Phone
(214) 376-1701
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 117099 TX Primary

Addresses

Primary practice location

550 E Ann Arbor Ave
Dallas, TX 75216-6718

Mailing address

800 Benge Dr Apt 24
Arlington, TX 76013-2614
Phone (817) 705-1689

Other practice location 1

4950 S Bowen Rd
Arlington, TX 76017-2614
Phone (817) 419-9281

Other practice location 2

2851 Ragland Rd
Grand Prairie, TX 75052-7910
Phone (682) 808-5960

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 Science

State licenses

LicenseStateTypeSpecialty
117099TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1144985920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BENGE DR APT 24",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132614",
            "telephone_number": "817-705-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E ANN ARBOR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166718",
            "telephone_number": "214-376-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 S Bowen Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760172614",
            "country_code": "US",
            "telephone_number": "817-419-9281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 Ragland Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527910",
            "country_code": "US",
            "telephone_number": "682-808-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "BREANNA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.