Individual provider Active NPI

Katie Glomb

  • Speech-Language Pathologist
  • Woodway, TX
National Provider Identifier
1699443812
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116235 Issued in TX
Practice address
13885 Woodway Dr
Woodway, TX 76712-7621
Phone
(254) 761-5610
NPI assigned
Sep 1, 2021
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 116235 TX Primary

Addresses

Primary practice location

13885 Woodway Dr
Woodway, TX 76712-7621

Mailing address

13885 Woodway Dr
Woodway, TX 76712-7621
Phone (254) 761-5610

Other practice location 1

200 Line St
Hillsboro, TX 76645-3149
Phone (254) 582-3814

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
116235TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1699443812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 WOODWAY DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767127621",
            "telephone_number": "254-761-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 WOODWAY DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767127621",
            "telephone_number": "254-761-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Line St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "TX",
            "postal_code": "766453149",
            "country_code": "US",
            "telephone_number": "254-582-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOMB",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.