Individual provider Active NPI

Gabriela Michelle De Leon, CCC-SLP

  • Speech-Language Pathologist
  • Bee Cave, TX
National Provider Identifier
1861069189
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118164 Issued in TX
Practice address
3944 RR 620 S Ste 206
Bee Cave, TX 78738-7000
Phone
(512) 645-8009
NPI assigned
Jun 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 118164 TX Primary

Addresses

Primary practice location

3944 RR 620 S Ste 206
Bee Cave, TX 78738-7000

Mailing address

6531 County Road 110 Apt 228
Round Rock, TX 78665-1629
Phone (512) 961-2626

Other practice location 1

2100 E Martin Luther King Jr Blvd
Austin, TX 78702-1342
Phone (512) 900-7934

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

LicenseStateTypeSpecialty
118164TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonrisas Therapies- Pediatric Home and Healthcare Services, LLC. PastSince Jun 1, 2021 Accepting new patients

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": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1861069189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 COUNTY ROAD 110 APT 228",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651629",
            "telephone_number": "512-961-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 RR 620 S STE 206",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "512-645-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 E Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787021342",
            "country_code": "US",
            "telephone_number": "512-900-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "GABRIELA",
        "middle_name": "MICHELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.