Active NPI
Audrey Brianna Latimore
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1568025351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 112077
- Practice address
- 6701 Fannin St Ste 550
Houston, TX 77030-2609 - Phone
- (832) 822-3280
- Fax
- (832) 825-9332
- NPI assigned
- Apr 17, 2019
- 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 | 112077 | TX | Primary |
Addresses
Primary practice location
6701 Fannin St Ste 550
Houston, TX 77030-2609
Mailing address
3933 Tulane St
Houston, TX 77018-6619
Phone (717) 319-1105
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 |
|---|---|---|---|
| 112077 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1568025351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 TULANE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770186619",
"telephone_number": "717-319-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN ST STE 550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302609",
"telephone_number": "832-822-3280",
"fax_number": "832-825-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMORE",
"first_name": "AUDREY",
"middle_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "112077",
"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 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.