Active NPI
Amanda R McGavin
- Speech-Language Pathologist
- Pearland, TX
National Provider Identifier
1487835161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101379
- Practice address
- 8619 Broadway St Ste 200
Pearland, TX 77584-8496 - Phone
- (281) 485-4818
- Fax
- (481) 485-5446
- NPI assigned
- Nov 21, 2007
- Last updated
- Nov 21, 2007
- 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 | 101379 | TX | Primary |
Addresses
Primary practice location
8619 Broadway St Ste 200
Pearland, TX 77584-8496
Mailing address
8619 Broadway St Ste 200
Pearland, TX 77584-8496
Phone (281) 485-4818
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 |
|---|---|---|---|
| 101379 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Spot PLLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1487835161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST STE 200",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848496",
"telephone_number": "281-485-4818",
"fax_number": "481-485-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST STE 200",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848496",
"telephone_number": "281-485-4818",
"fax_number": "481-485-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAVIN",
"first_name": "AMANDA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.