Individual provider Active NPI

Gabriela Pereira Gross, CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1356955371
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09895 Issued in MD
Practice address
3801 Fallstaff Rd
Baltimore, MD 21215-1502
Phone
(410) 396-0682
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 09895 MD Primary

Addresses

Primary practice location

3801 Fallstaff Rd
Baltimore, MD 21215-1502

Mailing address

1901 S Charles St Apt 132
Baltimore, MD 21230-4886
Phone (914) 874-6336

Other practice location 1

115 Sudbrook Ln Ste A
Pikesville, MD 21208-4184
Phone (410) 358-1997

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
09895MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1356955371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CHARLES ST APT 132",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304886",
            "telephone_number": "914-874-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151502",
            "telephone_number": "410-396-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Sudbrook Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084184",
            "country_code": "US",
            "telephone_number": "410-358-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "GABRIELA",
        "middle_name": "PEREIRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.