Active NPI
Lea Gizelle L. Gagarin, MA
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1336560416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 9220 Kirby Dr Ste 1000
Houston, TX 77054-2534 - Phone
- (713) 383-9700
- NPI assigned
- Dec 17, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
9220 Kirby Dr Ste 1000
Houston, TX 77054-2534
Mailing address
203 NE Loop 820 Business Tower 1
Suite 200
Hurst, TX 76053
Phone (817) 789-6849
Other practice location 1
5510 S Rice Ave
Apt 1413
Houston, TX 77081-2131
Phone (845) 893-6864
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336560416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 NE LOOP 820 BUSINESS TOWER 1",
"address_2": "SUITE 200",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-789-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 KIRBY DR STE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542534",
"telephone_number": "713-383-9700"
}
],
"practiceLocations": [
{
"address_1": "5510 S Rice Ave",
"address_2": "APT 1413",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770812131",
"country_code": "US",
"telephone_number": "845-893-6864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGARIN",
"first_name": "LEA GIZELLE",
"middle_name": "L.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, 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.