Active NPI
Gentry Yurak
- Speech-Language Pathologist
- Daphne, AL
National Provider Identifier
1285298331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4507
- Practice address
- 26420 Kensington PL Ste C
Daphne, AL 36526-5123 - Phone
- (251) 517-0355
- NPI assigned
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4507 | AL | Primary |
Addresses
Primary practice location
26420 Kensington PL Ste C
Daphne, AL 36526-5123
Mailing address
26420 Kensington PL Ste C
Daphne, AL 36526-5123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4507 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1285298331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26420 KENSINGTON PL STE C",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26420 KENSINGTON PL STE C",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265123",
"telephone_number": "251-517-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURAK",
"first_name": "GENTRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "4507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.