Active NPI
Cheniqueka Lashaun Gullette
- Speech-Language Assistant
- Houston, TX
National Provider Identifier
1710535125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 34272
- Practice address
- 5718 Cedar Field Way
Houston, TX 77084-1976 - Phone
- (281) 974-0283
- NPI assigned
- Aug 28, 2019
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 34272 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | 34272 | TX |
Addresses
Primary practice location
5718 Cedar Field Way
Houston, TX 77084-1976
Mailing address
5718 Cedar Field Way
Houston, TX 77084-1976
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | kantime.com |
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 |
|---|---|---|---|
| 34272 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1710535125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 CEDAR FIELD WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770841976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 CEDAR FIELD WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770841976",
"telephone_number": "281-974-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLETTE",
"first_name": "CHENIQUEKA",
"middle_name": "LASHAUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "34272",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "34272",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "kantime.com",
"affiliation": "Y",
"address_1": "17314 SH 249",
"address_2": "Suite 230",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770641140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.