Active NPI
Dakota Alexandria Gibbs, BS, MS,
- Speech-Language Pathologist
- Richardson, TX
National Provider Identifier
1477032506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114582
- Practice address
- 3400 Waterview Pkwy Ste 115
Richardson, TX 75080-1547 - Phone
- (972) 369-2675
- NPI assigned
- Aug 9, 2018
- 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 | 114582 | TX | Primary |
Addresses
Primary practice location
3400 Waterview Pkwy Ste 115
Richardson, TX 75080-1547
Mailing address
2829 Robin Hill LN
Garland, TX 75044-5949
Phone (972) 369-2675
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
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114582 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1477032506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 ROBIN HILL LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750445949",
"telephone_number": "972-369-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 WATERVIEW PKWY STE 115",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801547",
"telephone_number": "972-369-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "DAKOTA",
"middle_name": "ALEXANDRIA",
"credential": "BS, MS,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.