Active NPI
Gayla Jordan Lutz
- Speech-Language Pathologist
- Cypress, TX
National Provider Identifier
1801630587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18484
- Practice address
- 13611 Skinner Rd Ste 250
Cypress, TX 77429-4692 - Phone
- (832) 593-6767
- Fax
- (832) 593-6868
- NPI assigned
- Jun 19, 2024
- 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 | 18484 | TX | Primary |
Addresses
Primary practice location
13611 Skinner Rd Ste 250
Cypress, TX 77429-4692
Mailing address
13611 Skinner Rd Ste 250
Cypress, TX 77429-4692
Phone (832) 593-6767
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18484 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Emporium Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
13611 Skinner Rd
Ste 250
Cypress, TX 77429
Phone (832) 593-6767
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1801630587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13611 SKINNER RD STE 250",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294692",
"telephone_number": "832-593-6767",
"fax_number": "832-593-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 SKINNER RD STE 250",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294692",
"telephone_number": "832-593-6767",
"fax_number": "832-593-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "GAYLA",
"middle_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.