Belinda Pruitt

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107067 Issued in TX

Practice address

401 Owen LN
Waco, TX 76710-5558

Phone

(254) 772-8900

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1235613407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 QUEEN I RD",
            "city": "BREMOND",
            "state": "TX",
            "postal_code": "766295196",
            "telephone_number": "979-324-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OWEN LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105558",
            "telephone_number": "254-772-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "BELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health Services of Waco
• Providence Health Services of Waco, Inc
• Providence Park, Inc.
• Providerx of Waco LLC
• Pruett Medical, Inc.
• Pat Pryor, M.D.
• Psylrw, Inc
• Victoria Reid Puckett
• Miley O Pulliam
• Paul Edward Puntney, O.D.

• Speech-Language Pathologist in Waco, TX
• Providers in Waco, 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 Sep 24, 2018; 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.