Active NPI
Sandra Lee Gaskell, CCC-SLP SLP.D RPA
- Speech-Language Pathologist
- Modesto, CA
National Provider Identifier
1588979058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12114980
- Practice address
- 3117 McHenry Ave
B
Modesto, CA 95350-1470 - Phone
- (209) 544-1032
- Fax
- (209) 491-7184
- NPI assigned
- Aug 9, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12114980 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 5718 | CA | |
| Speech-Language Pathologist | 235Z00000X | 4218926 | AZ |
Addresses
Primary practice location
3117 McHenry Ave
B
Modesto, CA 95350-1470
Mailing address
PO Box 576649
Modesto, CA 95357-6649
Phone (209) 571-8330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4218926 | AZ | MD | Speech-Language Pathologist |
| 12114980 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Speech Communication | Speech-Language Pathologist | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Modesto, CA
- NPI 1073874764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1588979058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576649",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576649",
"telephone_number": "209-571-8330",
"fax_number": "209-491-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 MCHENRY AVE",
"address_2": "B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501470",
"telephone_number": "209-544-1032",
"fax_number": "209-491-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASKELL",
"first_name": "SANDRA",
"middle_name": "LEE",
"credential": "CCC-SLP SLP.D RPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "12114980",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "5718",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "4218926",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.