Individual provider Active NPI

Adrienne Gomez-Batrez

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1750017869
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP13810 Issued in CA
Practice address
996 Minnesota Ave Ste 106
San Jose, CA 95125-2424
Phone
(408) 313-3880
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 SP13810 CA Primary

Addresses

Primary practice location

996 Minnesota Ave Ste 106
San Jose, CA 95125-2424

Mailing address

996 Minnesota Ave Ste 106
San Jose, CA 95125-2424
Phone (408) 313-3880

Other identifiers 1

IdentifierTypeStateIssuer
SP13810OtherCASPEECH PATHOLOGIST LICENSING BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL adrienne@agbspeech.com Health Information Exchange (HIE)

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
SP13810CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1750017869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 MINNESOTA AVE STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252424",
            "telephone_number": "408-313-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 MINNESOTA AVE STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252424",
            "telephone_number": "408-313-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-BATREZ",
        "first_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST LICENSING BOARD",
            "identifier": "SP13810",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adrienne@agbspeech.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "996 Minnesota Ave Ste 106",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951252424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.