Organization Active NPI

Xpressively Yourz Speech Therapy Services

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1417318627
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101249 Issued in TX
Legal business name
XPRESSIVELY YOURZ SPEECH THERAPY SERVICES
Practice address
14511 Falling Creek Dr
Suite 205
Houston, TX 77014-1244
Phone
(281) 397-0882
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Ms. Melissa Shavonne Crockett, M.ED.,CCC-SLP
Title
Executive Director
Phone
(281) 451-2567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 101249 TX Primary

Addresses

Primary practice location

14511 Falling Creek Dr
Suite 205
Houston, TX 77014-1244

Mailing address

15622 Clarks Fork CT
Houston, TX 77086-1173
Phone (281) 397-0882

Other identifiers 1

IdentifierTypeStateIssuer
196943801MedicaidTX

National Provider Directory

National Provider Directory

Locations

14511 Falling Creek Dr
Ste 205
Houston, TX 77014
Phone (281) 397-0882

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1417318627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 CLARKS FORK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861173",
            "telephone_number": "281-397-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 FALLING CREEK DR",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141244",
            "telephone_number": "281-397-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESSIVELY YOURZ SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SHAVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-451-2567",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196943801",
            "state": "TX"
        }
    ],
    "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 Mar 15, 2016; 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.