Gail G Eaton, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1367 Issued in NM

Practice address

11306 Richfield Ave NE
Albuquerque, NM 87122-4188

Phone

(505) 797-1952

NPI assigned

Nov 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Lisa Sisneros Brow, Speech-Language Pathologist, LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1881751337
  NPD (past)

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942376728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870480070",
            "telephone_number": "505-898-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 RICHFIELD AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224188",
            "telephone_number": "505-797-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "GAIL",
        "middle_name": "G",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000L5925",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Easton, LPCC
• Sharon Eastvold, SLP
• Eating Disorders Treatment Center
• Eating Disorders Treatment Center, LLC
• Camri Alexus Eaton, RPH
• R. Phillip Eaton, MD
• John Craig Eaves, RPSGT
• Susette Eaves, CFNP
• Taylor Lee Eaves, DC
• Ala Ebaid, MD

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.