STACEY GILLIS (NPI# 1689166159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689166159 |
Entity Type | Individual |
Full Name | STACEY GILLIS |
Practice Address |
2011 Broadway St Ste 130 Pearland TX 77581-5945 |
Mailing Address |
1640 E T C Jester Blvd Apt 916 Houston TX 77008-2576 |
Practice Telephone | 2819978509 |
Mailing Telephone | 9795782301 |
Enumeration Date | 2018-05-31 |
Last Update Date | 2019-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 113900 | TX | Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4100 N Sam Houston Pkwy W, Houston, TX 770861465 | 7133839700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497780225 | Stacey B Gillis | Chiropractor | 2200 Harbor Blvd Ste B160, Costa Mesa, CA 92627-5871 | 2006-07-11 |
Street Address |
2011 BROADWAY ST STE 130 |
City | PEARLAND |
State | TX |
Zip Code | 77581-5945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598899759 | Melissa Ann Boltz | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2007-03-16 |
1467053025 | Kassandra Banda | Physical Therapist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-11-02 |
1649879511 | Diana Chang | Clinic/Center | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-10-21 |
1801494455 | Tammy Kim Nguyen | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-10-15 |
1538767686 | Thomas Klussmann | Physical Therapist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-10-12 |
1396352969 | Victoria Ncube | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-09-28 |
1356958904 | Kelsey Stockton | Occupational Therapist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-09-28 |
1437765880 | Shakila Hudson | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-09-21 |
1558976571 | Roberta Lima Guditis | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-09-15 |
1770198418 | Erique Jackson | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2020-09-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477171973 | Teledentist365 Foundation | Public Health or Welfare | 2111 Limrick Drive, Pearland, TX 77581 | 2020-07-10 |
1558984757 | Oculus Interest Vii, LLC | Optometrist | 2470 Pearland Pkwy, Pearland, TX 77581 | 2020-05-21 |
1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
1164054615 | Chau Minh Pho | Pharmacist | 3245 Fm518, Pearland, TX 77581 | 2020-02-12 |
1902460611 | Areli Dominguez | Behavior Technician | 6516 Broadway Street, Suite 112, Perland, TX 77581 | 2019-04-29 |
1700356359 | Rebekah Buck | Physical Therapist | 2011 E. Broadway Ste 130, Pearland, TX 77581 | 2018-11-27 |
1639676737 | Kjj Vision Pllc | Optometrist | 1816 Broadway St Ste 106, Pearland, TX 77581 | 2018-04-06 |
1386155398 | Tekisha Murphy | Nurse Practitioner | 2812 Afton Drive, Pearland, TX 77581 | 2017-10-17 |
1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
Find all providers in zip 77581 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053923433 | Robin Rene Boyd | Speech-Language Pathologist | 17711 County Road 125, Pearland, TX 77581-6272 | 2020-08-18 |
1760002935 | Shelly Ann Carver | Speech-Language Pathologist | 2011 Broadway St Ste 120, Pearland, TX 77581-5945 | 2020-04-17 |
1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
1992367601 | Nichole Shandell Batagower | Speech-Language Pathologist | 1403 Pine Meadow Ct, Pearland, TX 77581-8747 | 2019-07-02 |
1528522018 | Clarice Adell Nelson | Speech-Language Pathologist | 1106 Woodbridge Ave, Pearland, TX 77584-2358 | 2019-01-29 |
1891267639 | Mariette Simone Dalrymple | Speech-Language Pathologist | 13020 Balsam Breeze Ln, Pearland, TX 77584-6789 | 2018-12-18 |
1235629767 | Samasthitha Subramanyan | Speech-Language Pathologist | 2305 Canyon Springs Dr, Pearland, TX 77584-3413 | 2018-05-10 |
1154818375 | Ashlee Hutson | Speech-Language Pathologist | 2122 Kilkenny Dr, Pearland, TX 77581-5167 | 2018-04-13 |
1053811554 | Marcia Edwina Johnson | Speech-Language Pathologist | 13805 Greenblade Dr, Pearland, TX 77584-3433 | 2018-02-20 |
1861943748 | Margaret Blake | Speech-Language Pathologist | 3212 Fontaine Dr, Pearland, TX 77584-9057 | 2016-10-17 |
Find all providers in PEARLAND |
Please comment or provide details below to improve the information on STACEY GILLIS.
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.