Individual provider Active NPI

Jessica Amanda Garcia, M.S., CCC-SLP

  • Speech-Language Pathologist
  • League City, TX
National Provider Identifier
1407596513
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105252 Issued in TX
Practice address
4511 Balearic Island CT
League City, TX 77573-3373
Phone
(405) 550-7878
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 105252 TX Primary

Addresses

Primary practice location

4511 Balearic Island CT
League City, TX 77573-3373

Mailing address

4511 Balearic Island CT
League City, TX 77573-3373
Phone (405) 550-7878

Other practice location 1

4050 Village Way
Clear Creek ISD
League City, TX 77573
Phone (281) 284-4000

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

Practice roles

OrganizationSpecialtyStatusNew patients
For the Love of Words Speech and Language Therapy Services PLLC Single Specialty CurrentSince Oct 23, 2022 Accepting new patients

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1407596513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 BALEARIC ISLAND CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733373",
            "telephone_number": "405-550-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 BALEARIC ISLAND CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733373",
            "telephone_number": "405-550-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 Village Way",
            "address_2": "Clear Creek ISD",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "77573",
            "country_code": "US",
            "telephone_number": "281-284-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSICA",
        "middle_name": "AMANDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.