Andronette Aila, M.S., CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Santa Fe, NM
NPI 1033959291 · NPPES record last updated May 27, 2024
Key facts
- NPI
- 1033959291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SAH-2024-0162 (NM)
- Practice address
- 1800 Old Pecos TRL Ste 1
Santa Fe, NM 87505-4759 - Phone
- (505) 424-8777
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SAH-2024-0162 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks Functional Health, LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SAH-2024-0162 | NM | Yes |
Addresses
Primary practice location
1800 Old Pecos TRL Ste 1
Santa Fe, NM 87505-4759
Mailing address
2725 Agua Fria St Apt D101
Santa Fe, NM 87507-5520
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All providers in Santa Fe, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.