Individual provider Active NPI

Ashley Panakezham

  • Speech-Language Pathologist
  • Sugar Land, TX
National Provider Identifier
1194324723
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117239 Issued in TX
Practice address
800 Bonaventure Way Ste 147
Sugar Land, TX 77479-8006
Phone
(832) 292-6800
NPI assigned
Oct 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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 117239 TX Primary

Addresses

Primary practice location

800 Bonaventure Way Ste 147
Sugar Land, TX 77479-8006

Mailing address

800 Bonaventure Way Ste 147
Sugar Land, TX 77479-8006
Phone (832) 292-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley@speechtherapyworkstx.com Direct

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

LicenseStateTypeSpecialty
117239TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1194324723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 147",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798006",
            "telephone_number": "832-292-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 147",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798006",
            "telephone_number": "832-292-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAKEZHAM",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@speechtherapyworkstx.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 Bonaventure Way Ste 147",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774798006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.