Individual provider Active NPI

Avery Clary

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1619739885
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
122074 Issued in TX
Practice address
13611 Skinner Rd Ste 250
Cypress, TX 77429-4692
Phone
(832) 593-6767
Fax
(832) 593-6868
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 122074 TX Primary

Addresses

Primary practice location

13611 Skinner Rd Ste 250
Cypress, TX 77429-4692

Mailing address

13611 Skinner Rd Ste 250
Cypress, TX 77429-4692
Phone (832) 593-6767

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

LicenseStateTypeSpecialty
122074TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Emporium Inc Speech-Language Pathologist CurrentSince Jan 28, 2024 Accepting new patients
Reliant Children Therapy Center, Inc Speech-Language Pathologist Past Accepting new patients

Locations

13611 Skinner Rd
Ste 250
Cypress, TX 77429
Phone (832) 593-6767

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1619739885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD STE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294692",
            "telephone_number": "832-593-6767",
            "fax_number": "832-593-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD STE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294692",
            "telephone_number": "832-593-6767",
            "fax_number": "832-593-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.