Active NPI
Amy Imbaquingo
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1437902012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 122183
- Practice address
- 1110 Enclave Pkwy
Houston, TX 77077-1606 - Phone
- (832) 593-6767
- Fax
- (281) 741-3521
- NPI assigned
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 122183 | TX | Primary |
Addresses
Primary practice location
1110 Enclave Pkwy
Houston, TX 77077-1606
Mailing address
13611 Skinner Rd Ste 250
Cypress, TX 77429-4692
Phone (832) 593-6767
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 |
|---|---|---|---|
| 122183 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Emporium Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
13611 Skinner Rd
Ste 250
Cypress, TX 77429
Phone (832) 593-6767
1110 Enclave Pkwy
Houston, TX 77077
Phone (281) 741-3372
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": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1437902012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13611 SKINNER RD STE 250",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294692",
"telephone_number": "832-593-6767",
"fax_number": "832-593-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 ENCLAVE PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771606",
"telephone_number": "832-593-6767",
"fax_number": "281-741-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMBAQUINGO",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "122183",
"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 Apr 11, 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.