Active NPI
Victoria Elizabeth Thornton
- Speech-Language Pathologist
- Gladewater, TX
National Provider Identifier
1740937846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10659
- Practice address
- 5303 Old Highway 135 N
Gladewater, TX 75647-6808 - Phone
- (903) 984-4416
- Fax
- (903) 986-3408
- NPI assigned
- Mar 8, 2022
- 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 | 10659 | TX | Primary |
Addresses
Primary practice location
5303 Old Highway 135 N
Gladewater, TX 75647-6808
Mailing address
1209 Creekwood LN
Longview, TX 75602-6831
Phone (903) 918-2270
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 |
|---|---|---|---|
| 10659 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1740937846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 CREEKWOOD LN",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756026831",
"telephone_number": "903-918-2270",
"fax_number": "903-986-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 OLD HIGHWAY 135 N",
"city": "GLADEWATER",
"state": "TX",
"postal_code": "756476808",
"telephone_number": "903-984-4416",
"fax_number": "903-986-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "10659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladewater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.