Individual provider Active NPI

Labreda Nicole Gibson

  • Speech-Language Pathologist
  • Spring, TX
National Provider Identifier
1255667739
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103008 Issued in TX
Practice address
1726 Laremont Bend Dr
Spring, TX 77386-4253
Phone
(832) 221-3883
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 103008 TX
Speech-Language Pathologist 235Z00000X 103008 TX Primary

Addresses

Primary practice location

1726 Laremont Bend Dr
Spring, TX 77386-4253

Mailing address

1726 Laremont Bend Dr
Spring, TX 77386-4253
Phone (832) 221-3883

Other practice location 1

14275 Midway Rd
Suite 220
Addison, TX 75001-3614
Phone (972) 850-0720

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
103008TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255667739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 LAREMONT BEND DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864253",
            "telephone_number": "832-221-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 LAREMONT BEND DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864253",
            "telephone_number": "832-221-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14275 Midway Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013614",
            "country_code": "US",
            "telephone_number": "972-850-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LABREDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "103008",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.