Individual provider Active NPI

Nedra Genelle Woods, CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1780812156
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102041 Issued in TX
Practice address
9610 Longpoint Rd
Ste 120
Houston, TX 77055-4265
Phone
(832) 487-9880
NPI assigned
Jun 24, 2009
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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 102041 TX Primary

Addresses

Primary practice location

9610 Longpoint Rd
Ste 120
Houston, TX 77055-4265

Mailing address

9610 Longpoint Rd
Ste 120
Houston, TX 77055-4265
Phone (832) 487-9880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617000315 TX Practitioner - Qualified Speech Language Pathologist 9032531249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102041TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Pediatric Therapy LLC Speech-Language Pathologist CurrentSince May 1, 2020 Accepting new patients
Exceptional Therapy Services of Louisiana, LLC Speech-Language Pathologist Past Accepting new patients

Locations

16310 Tomball Pkwy
Ste 1601
Houston, TX 77064
Phone (832) 487-9872

7676 Hillmont St
Ste 230
Houston, TX 77040

9610 Long Point Rd
Ste 110
Houston, TX 77055
Phone (832) 487-9872

9610 Long Point Rd
Ste 120
Houston, TX 77055
Phone (832) 487-9872

9610 Long Point Rd
Ste 355
Houston, TX 77055
Phone (832) 487-9872

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1780812156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 LONGPOINT RD",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554265",
            "telephone_number": "832-487-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 LONGPOINT RD",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554265",
            "telephone_number": "832-487-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "NEDRA",
        "middle_name": "GENELLE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.