SUOMI LOPEZ GANDARA (NPI# 1295065480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295065480 |
| Entity Type | Individual |
| Full Name | SUOMI LOPEZ GANDARA |
| Credential | SLP-A |
| Practice Address |
5316 Trail Lake Dr Fort Worth TX 76133-1931 |
| Mailing Address |
745 Via Miramonte Mesquite TX 75150-3055 |
| Practice Telephone | 8172928787 |
| Practice Fax Number | 8177896849 |
| Mailing Telephone | 9726863312 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355A2700X |
Specialist/Technologist Specialization: Audiology Assistant |
35232 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149984001 | 05 |
| Street Address |
5316 TRAIL LAKE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134395049 | Becky Bloomfield | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2008-05-01 |
| 1043576739 | Lindsay Liebreich Parker | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-06 |
| 1124384201 | Sharon Lynette Johnson | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-03 |
| 1780940866 | Jaime Delynn Revilla | Occupational Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-03 |
| 1386910966 | Cynthia Gutierrez | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-28 |
| 1336415462 | Maria Isabel Otero | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-22 |
| 1508131624 | Michelle Zarate | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-22 |
| 1770858110 | Stuart Brad Clontz | Occupational Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-19 |
| 1578838918 | Margaret J Rogers | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-19 |
| 1295000883 | David Russell Brown | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| Taxonomy Code | 2355A2700X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Audiology Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538484365 | Robin Keller | Specialist/Technologist | 5306 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2010-04-05 |
| 1972827095 | Alex Kim Hammond | Specialist/Technologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417408642 | Lynda Marie Perez | Specialist/Technologist | 98 Briggs Ave #990, San Antonio, TX 78224 | 2016-10-24 |
| 1548534704 | Noelia Vera | Specialist/Technologist | 1005 E Nolana Ave, Ste C, Mcallen, TX 78504-6101 | 2012-03-05 |
| 1003191909 | Melissa Angelica Estorga | Specialist/Technologist | 1301 E Fern Ave Ste D1, Mcallen, TX 78501-1497 | 2011-10-12 |
| 1598060378 | Language Learning Center Brazos Valley Inc. | Specialist/Technologist | 511 University Dr E Ste 207, College Station, TX 77840-1748 | 2011-01-25 |
| City | FORT WORTH |
| Zip Code | 76133 |
Please comment or provide details below to improve the information on SUOMI LOPEZ GANDARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.