Individual provider Active NPI

Gentrie Nolen, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Temple, TX
National Provider Identifier
1720542905
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113550 Issued in TX
Practice address
763 Marlandwood Rd
Temple, TX 76502-3573
Phone
(254) 771-5950
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 113550 TX Primary

Addresses

Primary practice location

763 Marlandwood Rd
Temple, TX 76502-3573

Mailing address

2304 Calmont Dr
Arlington, TX 76001-8408
Phone (972) 922-7883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910001607 TX Practitioner - Qualified Speech Language Pathologist 3971909292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services TX LLCGroup PAC ID 7113330879, 122 clinicians

Practice addresses (Care Compare)

13001 Hillcrest Rd
Dallas, TX 75240-5402
Phone (877) 407-3422

4101 W Arkansas LN
Arlington, TX 76016-1496
Phone (877) 407-3422

650 S Greenville Ave
Allen, TX 75002-3037
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services TX LLC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Senior Therapy Solutions, LLC Speech-Language Pathologist CurrentSince Aug 16, 2021 Accepting new patients
Senior Therapy Solutions, LLC CurrentSince Aug 16, 2021 Accepting new patients

Locations

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750

5901 Crosslake Pkwy
Ste B
Waco, TX 76712
Phone (254) 300-6964

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1720542905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 CALMONT DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760018408",
            "telephone_number": "972-922-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 MARLANDWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023573",
            "telephone_number": "254-771-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "GENTRIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.