Active NPI
Jamie Longoria, SLP
- Speech-Language Pathologist
- Corsicana, TX
National Provider Identifier
1730338922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103717
- Practice address
- 500 W 3Rd Ave
Corsicana, TX 75110-4562 - Phone
- (903) 872-5925
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 103717 | TX | Primary |
Addresses
Primary practice location
500 W 3Rd Ave
Corsicana, TX 75110-4562
Mailing address
500 W 3Rd Ave Ste 6
Corsicana, TX 75110-4564
Phone (903) 872-5925
Other practice location 1
5850 Ohio Dr
Frisco, TX 75035-7096
Phone (972) 668-5257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103717 | Other | TX | TX SLP |
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 |
|---|---|---|---|
| 103717 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1730338922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 3RD AVE STE 6",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751104564",
"telephone_number": "903-872-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 3RD AVE",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751104562",
"telephone_number": "903-872-5925"
}
],
"practiceLocations": [
{
"address_1": "5850 Ohio Dr",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750357096",
"country_code": "US",
"telephone_number": "972-668-5257",
"fax_number": "972-668-5258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGORIA",
"first_name": "JAMIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX SLP",
"identifier": "103717",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.