Active NPI
Jessena Elmore, MA, CCC-SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1851534093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103827
- Practice address
- 5445 Almeda Rd
Suite 222
Houston, TX 77004-7434 - Phone
- (713) 533-9826
- Fax
- (713) 533-9828
- NPI assigned
- Apr 17, 2009
- 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 | 103827 | TX | Primary |
Addresses
Primary practice location
5445 Almeda Rd
Suite 222
Houston, TX 77004-7434
Mailing address
5445 Almeda Rd
Suite 222
Houston, TX 77004-7434
Phone (713) 533-9826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204604701 | 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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1851534093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 ALMEDA RD",
"address_2": "SUITE 222",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047434",
"telephone_number": "713-533-9826",
"fax_number": "713-533-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 ALMEDA RD",
"address_2": "SUITE 222",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047434",
"telephone_number": "713-533-9826",
"fax_number": "713-533-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "JESSENA",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204604701",
"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 Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.