Individual provider Active NPI

Sandra Lee Gaskell, CCC-SLP SLP.D RPA

  • Speech-Language Pathologist
  • Modesto, CA
National Provider Identifier
1588979058
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12114980 Issued in CA
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

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4218926AZMDSpeech-Language Pathologist
12114980CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Speech Communication Speech-Language Pathologist PastSince Nov 26, 2012 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.

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.

Verify at the official NPI Registry.