Individual provider Active NPI

Andrea Hanratty Marshall, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1376128827
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114283 Issued in TX
Practice address
1240 Blalock Rd Ste 170
Houston, TX 77055-6447
Phone
(713) 468-0300
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 114283 TX Primary

Addresses

Primary practice location

1240 Blalock Rd Ste 170
Houston, TX 77055-6447

Mailing address

4603 Chantilly Cir
Houston, TX 77018-3214
Phone (713) 376-2792

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

LicenseStateTypeSpecialty
114283TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ladybug Speech and Language, PLLC Speech-Language Pathologist CurrentSince Apr 21, 2024 Accepting new patients
Village Therapy Works, Inc. Speech-Language Pathologist PastSince Mar 21, 2021 Accepting new patients

Organizations & group practices 2

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1376128827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 CHANTILLY CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770183214",
            "telephone_number": "713-376-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BLALOCK RD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556447",
            "telephone_number": "713-468-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ANDREA",
        "middle_name": "HANRATTY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114283",
            "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 Aug 24, 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.