Active NPI
Gaylan Cillo Peturis, M.S., CCC-SLP
- Speech-Language Pathologist
- Daphne, AL
National Provider Identifier
1942528500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2554
- Practice address
- 8909 Rand Ave
Daphne, AL 36526-9126 - Phone
- (251) 210-1632
- Fax
- (251) 625-3152
- NPI assigned
- May 6, 2010
- Last updated
- Aug 20, 2015
- 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 | 2554 | AL | Primary |
Addresses
Primary practice location
8909 Rand Ave
Daphne, AL 36526-9126
Mailing address
8909 Rand Ave
Daphne, AL 36526-9126
Phone (251) 210-1632
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2554 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1942528500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8909 RAND AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365269126",
"telephone_number": "251-210-1632",
"fax_number": "251-625-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8909 RAND AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365269126",
"telephone_number": "251-210-1632",
"fax_number": "251-625-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETURIS",
"first_name": "GAYLAN",
"middle_name": "CILLO",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
- Miriam Perdomo, DMD
- Alicia Perry, PH.D.
- Lorna Faye Perry, LPN
- Nicole Lemieux Persinger, OTR
- Haley Petties
- Pharmacy Corporation of America (Pharmerica)
- Pharmacy Corporation of America (RX Advantage)
- Pharmacy Services LLC (Pharmacy Service Pharmacy)
- Pharmacy Services LLC (Pharmacy Service Pharmacy)
- Abby Phillips, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.