Active NPI
Gertrude Patricia Gilhooly, M.S., CCC-SLP, CCC-A
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1316071970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14299
- Practice address
- 4161 S Hulen St
Apt 1426
Fort Worth, TX 76109-4975 - Phone
- (210) 833-1214
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50634 | TX | |
| Speech-Language Pathologist | 235Z00000X | 14299 | TX | Primary |
Addresses
Primary practice location
4161 S Hulen St
Apt 1426
Fort Worth, TX 76109-4975
Mailing address
4161 S Hulen St
Apt 1426
Fort Worth, TX 76109-4975
Phone (210) 833-1214
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216699301 | Medicaid | TX | |
| 81S005 | Other | TX | BLUE CROSS BLUE SHIELD |
| 2166993-02 | Medicaid | TX |
Other names 1
- Trudi Patricia Gilhooly
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14299 | TX | MD | Chiropractor |
| 50634 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343433600000",
"number": "1316071970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 S HULEN ST",
"address_2": "APT 1426",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094975",
"telephone_number": "210-833-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 S HULEN ST",
"address_2": "APT 1426",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094975",
"telephone_number": "210-833-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILHOOLY",
"first_name": "GERTRUDE",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2012-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50634",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216699301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81S005",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2166993-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRUDI",
"last_name": "GILHOOLY",
"middle_name": "PATRICIA",
"credential": "M.S. CCC-SLP, CCC-A",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.