Active NPI
Stephanie Gail Gilbertson, M.S. CCC/SLP
- Speech-Language Pathologist
- Temple, TX
National Provider Identifier
1780164681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 108018
- Practice address
- 3411 South 31St Street
Suite 105
Temple, TX 76502 - Phone
- (254) 231-3752
- Fax
- (254) 231-3754
- NPI assigned
- Aug 20, 2018
- 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 | 108018 | TX | Primary |
Addresses
Primary practice location
3411 South 31St Street
Suite 105
Temple, TX 76502
Mailing address
1201 Hewitt Dr Ste 107
Waco, TX 76712-8834
Phone (254) 572-8890
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mustard Seed Center, LLC | Current | Accepting new patients | |
| Lildutchess LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1201 Hewitt Dr
Ste 107
Woodway, TX 76712
Phone (254) 321-6678
Organizations & group practices 2
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.
-
- Developmental - Behavioral Pediatrics Physician
- Waco, TX
- NPI 1467326561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1780164681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 HEWITT DR STE 107",
"city": "WACO",
"state": "TX",
"postal_code": "767128834",
"telephone_number": "254-572-8890",
"fax_number": "254-231-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 SOUTH 31ST STREET",
"address_2": "SUITE 105",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76502",
"telephone_number": "254-231-3752",
"fax_number": "254-231-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "STEPHANIE",
"middle_name": "GAIL",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2022-11-30",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "108018",
"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 Nov 30, 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.