Individual provider Active NPI

Nancy M Fuller Gilpin, MED

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1336868777
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
$$$$$$$$$ Issued in TX
Practice address
9511 Sabine River CT
Cypress, TX 77433-3777
Phone
(832) 242-4092
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 $$$$$$$$$ TX Primary

Addresses

Primary practice location

9511 Sabine River CT
Cypress, TX 77433-3777

Mailing address

9511 Sabine River CT
Cypress, TX 77433-3777
Phone (832) 242-4092

Other identifiers 1

IdentifierTypeStateIssuer
46186093MedicaidTX

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1336868777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 SABINE RIVER CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333777",
            "telephone_number": "832-242-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 SABINE RIVER CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333777",
            "telephone_number": "832-242-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER GILPIN",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46186093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.