Active NPI
Reagan Riley Gulley
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1558086066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118968
- Practice address
- 1700 Campbell Rd
Houston, TX 77080-7404 - Phone
- (713) 251-7088
- NPI assigned
- Oct 6, 2022
- 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 | 118968 | TX | Primary |
Addresses
Primary practice location
1700 Campbell Rd
Houston, TX 77080-7404
Mailing address
3015 Weslayan St Apt 3030
Houston, TX 77027-5703
Phone (210) 687-3756
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 |
|---|---|---|---|
| 118968 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1558086066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 WESLAYAN ST APT 3030",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275703",
"telephone_number": "210-687-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CAMPBELL RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770807404",
"telephone_number": "713-251-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "REAGAN",
"middle_name": "RILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118968",
"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 Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.