Caitlyn Purks, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

500 South St Ste 300
Vidor, TX 77662-6183

Phone

(254) 644-2770

Fax

(254) 848-4193

NPI assigned

Dec 3, 2017

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kids Therapy Set, LLC

  • Multi-Specialty Clinic/Center
  • Vidor, TX
  • NPI 1194073353

  Speech-Language Pathologist

  Medicare reassignment NPD
• Southeast Texas Pediatric Therapy, PLLC

  • Physical Therapist
  • Vidor, TX
  • NPI 1952911729

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1558876334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9386 N HIGHWAY 6",
            "city": "CRAWFORD",
            "state": "TX",
            "postal_code": "766382849",
            "telephone_number": "254-644-2423",
            "fax_number": "254-848-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH ST STE 300",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776626183",
            "telephone_number": "254-644-2770",
            "fax_number": "254-848-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURKS",
        "first_name": "CAITLYN",
        "name_prefix": "Mrs.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Camilo Powell, OTR
• Priority Care Medical Transport, LLC
• Procare Wound and Wellness PLLC
• Promed Medical & Respiratory Supply, Inc.
• Providence Care Health Services, Inc.
• Christopher Elefano Quirante, PA
• John Rao
• Elizabeth Marie Reisch, SLP
• Valerie Ann Robertson, L.P.C.
• Marisol Sanchez, PT

• Speech-Language Pathologist in Vidor, TX
• Providers in Vidor, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.