Individual provider Active NPI

Pamela Maria Gomez, SLPA

  • Speech-Language Assistant
  • Alton, TX
National Provider Identifier
1669716221
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
35031 Issued in TX
Practice address
3013 E Main Ave Ste E
Alton, TX 78573
Phone
(956) 581-7200
Fax
(956) 581-7201
NPI assigned
Nov 20, 2012
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 35031 TX Primary

Addresses

Primary practice location

3013 E Main Ave Ste E
Alton, TX 78573

Mailing address

3013 E Main Ave Ste E
Alton, TX 78573-0932
Phone (956) 581-7200

Other practice location 1

467 Dalobo Blvd
Edinburg, TX 78541-4217
Phone (956) 437-7446

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
35031TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alton Kids Rehab, LLC 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, 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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1669716221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 E MAIN AVE STE E",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785730932",
            "telephone_number": "956-581-7200",
            "fax_number": "956-581-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E MAIN AVE STE E",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "78573",
            "telephone_number": "956-581-7200",
            "fax_number": "956-581-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 Dalobo Blvd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785414217",
            "country_code": "US",
            "telephone_number": "956-437-7446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "PAMELA",
        "middle_name": "MARIA",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.