Individual provider Active NPI

Diamond Angeline Sanchez, MS CF-SLP

  • Speech-Language Pathologist
  • San Marcos, TX
National Provider Identifier
1023624962
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117459 Issued in TX
Practice address
101 Uhland Rd Ste 112
San Marcos, TX 78666-6681
Phone
(512) 396-0872
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117459 TX Primary

Addresses

Primary practice location

101 Uhland Rd Ste 112
San Marcos, TX 78666-6681

Mailing address

1300 E Riverside Dr Apt D702
Austin, TX 78741-1201
Phone (352) 409-7307

Other identifiers 1

IdentifierTypeStateIssuer
117459OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION

Other names 1

  • Diamond Angeline Sprague Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
117459TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1023624962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E RIVERSIDE DR APT D702",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411201",
            "telephone_number": "352-409-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UHLAND RD STE 112",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666681",
            "telephone_number": "512-396-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DIAMOND",
        "middle_name": "ANGELINE",
        "name_prefix": "Mrs.",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "117459",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIAMOND",
            "last_name": "SPRAGUE",
            "middle_name": "ANGELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.