Individual provider Active NPI

Elizabeth Gomez

  • Speech-Language Pathologist
  • New Braunfels, TX
National Provider Identifier
1952800096
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118132 Issued in TX
Practice address
569 Creekside FRST
New Braunfels, TX 78130-6505
Phone
(956) 460-7242
NPI assigned
Feb 5, 2018
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 SP37494 CA
Speech-Language Pathologist 235Z00000X 118132 TX Primary

Addresses

Primary practice location

569 Creekside FRST
New Braunfels, TX 78130-6505

Mailing address

569 Creekside FRST
New Braunfels, TX 78130-6505
Phone (956) 460-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003612 TX Practitioner - Qualified Speech Language Pathologist 9032630579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP37494CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nido Pediatric Therapy PLLC Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients
Playhaus Pediatric Therapy PLLC Speech-Language Assistant CurrentSince Feb 6, 2025 Accepting new patients
Premier Healthcare Services Texas LLC Past Accepting new patients

Locations

1427 N Austin St
Seguin, TX 78155
Phone (830) 708-4692

404 W Kingsbury St
Seguin, TX 78155
Phone (830) 708-4692

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1952800096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 CREEKSIDE FRST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306505",
            "telephone_number": "956-460-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 CREEKSIDE FRST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306505",
            "telephone_number": "956-460-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP37494",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.