Active NPI
Apples and Bananas Pediatric Oral Motor and Dysphagia Center
- Speech-Language Pathologist
- Missouri City, TX
National Provider Identifier
1649470030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16446
- Legal business name
- APPLES AND BANANAS PEDIATRIC ORAL MOTOR AND DYSPHAGIA CENTER
- Practice address
- 3154 Bonney Briar Dr
Missouri City, TX 77459-3113 - Phone
- (713) 545-0349
- NPI assigned
- Jul 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shannon Lewis Servance, M.A. CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (713) 545-0349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16446 | TX | Primary |
Addresses
Primary practice location
3154 Bonney Briar Dr
Missouri City, TX 77459-3113
Mailing address
3154 Bonney Briar Dr
Missouri City, TX 77459-3113
Phone (713) 545-0349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376662064 | Other | TX | NPI (INDIVIDUAL) |
National Provider Directory
National Provider Directory- Tax ID family
- Apples and Bananas Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Missouri City, TX
- NPI 1124271325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Missouri City, TX
- NPI 1376662064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185148800000",
"number": "1649470030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3154 BONNEY BRIAR DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593113",
"telephone_number": "713-545-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3154 BONNEY BRIAR DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593113",
"telephone_number": "713-545-0349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLES AND BANANAS PEDIATRIC ORAL MOTOR AND DYSPHAGIA CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A",
"authorized_official_last_name": "SERVANCE",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "713-545-0349",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI (INDIVIDUAL)",
"identifier": "1376662064",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.