Gabriel Nycole Smith, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117027 Issued in TX

Practice address

1456 McLendon Dr Ste B
Decatur, GA 30033-1848

Phone

(404) 728-9766

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Associated Therapies, Inc

  • Early Intervention Provider Agency
  • Decatur, GA
  • NPI 1972772143
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1790277341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 N SURREY DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064800",
            "telephone_number": "251-404-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 MCLENDON DR STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331848",
            "telephone_number": "404-728-9766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Valley View Ln",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752344955",
            "country_code": "US",
            "telephone_number": "214-736-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GABRIEL",
        "middle_name": "NYCOLE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-02-17",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald W Smith, PHD
• Dustin Thomas Smith, M.D.
• Elizabeth Smith, MS
• Ellen Chiu Smith, M.D.
• Ernest E Smith, MD
• Gregory Maurice Smith
• Jacqueline Smith
• Jasmine A Smith, MA CCC-SLP
• Jayne E Smith, LPC
• Jeanette Arp Smith, RN

• Speech-Language Pathologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.