Individual provider Active NPI

Gail Nathanson, MA/CCC/SLP

  • Speech-Language Pathologist
  • Ventura, CA
National Provider Identifier
1346484110
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35622 Issued in CA
Practice address
1827 Knoll Dr
Ventura, CA 93003-7321
Phone
(805) 667-8200
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9138 FL
Speech-Language Pathologist 235Z00000X 35622 CA Primary

Addresses

Primary practice location

1827 Knoll Dr
Ventura, CA 93003-7321

Mailing address

890 Lindamere CT
Simi Valley, CA 93065-5541
Phone (973) 650-6108

Other practice location 1

12641 NW 75th St
Parkland, FL 33076-4205
Phone (954) 775-0090

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

State licenses

LicenseStateTypeSpecialty
SA9138FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapy Network, Inc. Speech-Language Pathologist CurrentSince Dec 17, 2023 Accepting new patients

Locations

1827 Knoll Dr
Ventura, CA 93003
Phone (805) 212-2532

Organizations & group practices 1

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1346484110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 LINDAMERE CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655541",
            "telephone_number": "973-650-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037321",
            "telephone_number": "805-667-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12641 NW 75th St",
            "address_purpose": "LOCATION",
            "city": "Parkland",
            "state": "FL",
            "postal_code": "330764205",
            "country_code": "US",
            "telephone_number": "954-775-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MA/CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9138",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.