Active NPI
Christi Ana Gonzalez, CCC-SLP
- Speech-Language Pathologist
- Weslaco, TX
National Provider Identifier
1427369347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105289
- Practice address
- 1620 E 8TH St
Weslaco, TX 78596-5882 - Phone
- (956) 351-5422
- Fax
- (956) 351-5420
- NPI assigned
- Jun 25, 2010
- Last updated
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105289 | TX | Primary |
Addresses
Primary practice location
1620 E 8TH St
Weslaco, TX 78596-5882
Mailing address
1620 E 8TH St
Weslaco, TX 78596-5882
Phone (956) 351-5422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105289 | Other | TX | STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105289 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1427369347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 E 8TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965882",
"telephone_number": "956-351-5422",
"fax_number": "956-351-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 E 8TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965882",
"telephone_number": "956-351-5422",
"fax_number": "956-351-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CHRISTI",
"middle_name": "ANA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "105289",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.