NPIMap

Individual provider Active NPI

Christina Sorrels, SPEECH THERAPIST

  • Speech-Language Pathologist
  • Longview, TX
National Provider Identifier
1316067747
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18564 Issued in TX
Practice address
107 Woodbine
#775
Longview, TX 75608
Phone
(903) 918-5806
Fax
(903) 295-5803
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18564 TX Primary

Addresses

Primary practice location

107 Woodbine
#775
Longview, TX 75608

Mailing address

107 Woodbine
#775
Longview, TX 75608
Phone (903) 918-5806

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
18564TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Valley Regional MHMR Center Past Accepting new patients
Sabine Valley Regional MHMR Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316067747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODBINE",
            "address_2": "#775",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75608",
            "telephone_number": "903-918-5806",
            "fax_number": "903-295-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODBINE",
            "address_2": "#775",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75608",
            "telephone_number": "903-918-5806",
            "fax_number": "903-295-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELS",
        "first_name": "CHRISTINA",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.