Active NPI
Latia Y Pacely, M.S., CCC/SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1801094859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102090
- Practice address
- 2106 Holman St # a
Houston, TX 77004-4240 - Phone
- (832) 561-3667
- Fax
- (832) 201-8214
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 102090 | TX | Primary |
Addresses
Primary practice location
2106 Holman St # a
Houston, TX 77004-4240
Mailing address
2106 Holman St # a
Houston, TX 77004-4240
Phone (832) 561-3667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3128258-01 | Medicaid | TX | |
| 3128258-02 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102090 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1801094859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 HOLMAN ST # A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770044240",
"telephone_number": "832-561-3667",
"fax_number": "832-201-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 HOLMAN ST # A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770044240",
"telephone_number": "832-561-3667",
"fax_number": "832-201-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACELY",
"first_name": "LATIA",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3128258-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3128258-02",
"state": "TX"
}
],
"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 Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.