Logan Rae Gill, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107861 Issued in TX

Practice address

5633 S Staples St
Suite 500
Corpus Christi, TX 78411-4646

Phone

(361) 855-1352

Fax

(361) 855-1254

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Therapy Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Corpus Christi, TX
  • NPI 1275764870
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1295098549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 S STAPLES ST",
            "address_2": "SUITE 500",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 S STAPLES ST",
            "address_2": "SUITE 500",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "LOGAN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Maldonado, MD
• Gilbert Maldonado, Mdpa
• Christopher Ryan Gilbert, LPC ASSOCIATE
• David Perez Gilbert, D.O.
• John Thomas Gill, O.D.
• Charles Wayne Gilleland, M.D.
• Sheryll Payumo Gilmore, MSN, APRN
• Gilwards Dialysis LLC
• Bridgett Gipson
• Yvonne Gipson

• Speech-Language Pathologist in Corpus Christi, TX
• Providers in Corpus Christi, 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 Jun 21, 2012; 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.