Active NPI
Jennifer Garcia, SLP
- Speech-Language Pathologist
- Brownwood, TX
National Provider Identifier
1659583821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101101
- Practice address
- 408 Mulberry St
Brownwood, TX 76801-1639 - Phone
- (325) 643-1721
- Fax
- (325) 646-7627
- NPI assigned
- May 3, 2007
- Last updated
- Aug 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 101101 | TX | Primary |
Addresses
Primary practice location
408 Mulberry St
Brownwood, TX 76801-1639
Mailing address
4419 Brookdale Dr
Brownwood, TX 76801-8307
Phone (325) 643-1721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188115301 | Medicaid | TX |
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 |
|---|---|---|---|
| 101101 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1659583821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 BROOKDALE DR",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768018307",
"telephone_number": "325-643-1721",
"fax_number": "325-646-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 MULBERRY ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768011639",
"telephone_number": "325-643-1721",
"fax_number": "325-646-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JENNIFER",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188115301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.