Active NPI
Jessica Cantu
- Speech-Language Assistant
- Laguna Vista, TX
National Provider Identifier
1013310986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 330033
- Practice address
- 225 Mesquite Dr
Laguna Vista, TX 78578-2708 - Phone
- (956) 943-2248
- NPI assigned
- Oct 6, 2014
- 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 Assistant | 2355S0801X | 330033 | TX | Primary |
Addresses
Primary practice location
225 Mesquite Dr
Laguna Vista, TX 78578-2708
Mailing address
225 Mesquite Dr
Laguna Vista, TX 78578-2708
Phone (956) 943-2248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330033 | Other | TX | LIC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330033 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laguna Madre Rehabilitation Center | Past | Accepting new patients | |
| Laguna Madre Rehabilitation Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Port Isabel, TX
- NPI 1841399623
-
- Physical Therapist
- Port Isabel, TX
- NPI 1982929246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1013310986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MESQUITE DR",
"city": "LAGUNA VISTA",
"state": "TX",
"postal_code": "785782708",
"telephone_number": "956-943-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MESQUITE DR",
"city": "LAGUNA VISTA",
"state": "TX",
"postal_code": "785782708",
"telephone_number": "956-943-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "330033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "330033",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Vista, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.