Individual provider Active NPI

Gracie Purifoy

  • Speech-Language Assistant
  • Tomball, TX
National Provider Identifier
1235900127
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
43635 Issued in TX
Practice address
25420 Kuykendahl Rd Ste F300
Tomball, TX 77375-3443
Phone
(832) 356-5152
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 43635 TX Primary

Addresses

Primary practice location

25420 Kuykendahl Rd Ste F300
Tomball, TX 77375-3443

Mailing address

10 Red Deer LN
Spring, TX 77380-1874
Phone (409) 782-9809

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
43635TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Speech Therapy, LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

25420 Kuykendahl Rd
Ste F300
Tomball, TX 77375
Phone (509) 999-4481

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1235900127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RED DEER LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801874",
            "telephone_number": "409-782-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 KUYKENDAHL RD STE F300",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753443",
            "telephone_number": "832-356-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURIFOY",
        "first_name": "GRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "43635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.