Individual provider Active NPI

Lucero Montes de Oca Lopez

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1033668447
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-3764 Issued in NV
Practice address
9480 S Eastern Ave Ste 273
Las Vegas, NV 89123-8000
Phone
(702) 355-9862
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-23574 NV
Speech-Language Pathologist 235Z00000X SP-3764 NV Primary

Addresses

Primary practice location

9480 S Eastern Ave Ste 273
Las Vegas, NV 89123-8000

Mailing address

9480 S Eastern Ave Ste 273
Las Vegas, NV 89123-8000
Phone (702) 610-6653

Other names 1

  • Miss Lucero Montes de Oca Other 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

State licenses

LicenseStateTypeSpecialty
RBT-16-23574NVMDBehavior Technician
SP-3764NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Therapy Services Speech-Language Pathologist Past Accepting new patients
Tandem Therapy Services Speech-Language Pathologist Past Accepting new patients
Autism and Brain Institute Inc Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1033668447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 S EASTERN AVE STE 273",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238000",
            "telephone_number": "702-610-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 S EASTERN AVE STE 273",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238000",
            "telephone_number": "702-355-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DE OCA LOPEZ",
        "first_name": "LUCERO",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-16-23574",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCERO",
            "last_name": "MONTES DE OCA",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.