Hayley Michelle Gomez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116816 Issued in TX

Practice address

7201 Hawkins View Dr Ste 151
Fort Worth, TX 76132-3934

Phone

(817) 479-7019

NPI assigned

Dec 4, 2018

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Hayley Michelle Jordan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Monkey Ears, LLC

  • Audiologist
  • Southlake, TX
  • NPI 1831706175
  NPD (past)
• Monkey Mouths, PLLC

  • Speech-Language Pathologist
  • Hurst, TX
  • NPI 1164613253
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1174093033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 SAVANNAH LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323728",
            "telephone_number": "817-266-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 HAWKINS VIEW DR STE 151",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323934",
            "telephone_number": "817-479-7019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Dares Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784208",
            "country_code": "US",
            "telephone_number": "410-286-1358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 4th Ave E",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586014014",
            "country_code": "US",
            "telephone_number": "817-266-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "HAYLEY",
        "middle_name": "MICHELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08771",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "JORDAN",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daisy Gomez
• David Julian Gomez, CRNA
• Denisse Gomez
• Emi Gomez, M.ED., LPC-A
• Erica Michelle Gomez, LCDC
• Kelly Gomez, PHARMD
• Kirsten A Gomez, LCSW
• Stephanie Marie Gomez, LCSW
• Anjaunette Denise Gonder, LMSW
• Grace K Gongidi, PA

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.