Individual provider Active NPI

Jessica Rae Lambeck, SLP

  • Speech-Language Pathologist
  • Goliad, TX
National Provider Identifier
1205114253
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105971 Issued in TX
Practice address
314 E Pearl St
Goliad, TX 77963-4200
Phone
(361) 645-8229
Fax
(210) 731-8678
NPI assigned
Jul 25, 2011
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 105971 TX Primary

Addresses

Primary practice location

314 E Pearl St
Goliad, TX 77963-4200

Mailing address

314 E Pearl St
Goliad, TX 77963-4200
Phone (361) 645-8229

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
105971TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goliad Special Education Cooperative PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1205114253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E PEARL ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634200",
            "telephone_number": "361-645-8229",
            "fax_number": "210-731-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E PEARL ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634200",
            "telephone_number": "361-645-8229",
            "fax_number": "210-731-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBECK",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goliad, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.