Individual provider Active NPI

Lailani Chehedeh, M.S.- SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1053072363
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
122480 Issued in TX
Practice address
12440 Rojas Dr
El Paso, TX 79928-5261
Phone
(915) 851-7181
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 122480 TX Primary

Addresses

Primary practice location

12440 Rojas Dr
El Paso, TX 79928-5261

Mailing address

8713 Hopewell Dr
El Paso, TX 79925-2609
Phone (915) 781-6985

Other practice location 1

1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041
Phone (915) 257-5782

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
122480TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Jan 1, 2022 Accepting new patients
New Beginnings Pediatric Speech Therapy Services, PLLC Speech-Language Pathologist Past Accepting new patients

Locations

1514 N Zaragoza Rd
Ste B4
El Paso, TX 79936
Phone (915) 229-6659

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.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1053072363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 HOPEWELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252609",
            "telephone_number": "915-781-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 ROJAS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285261",
            "telephone_number": "915-851-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 N Zaragoza Rd Ste B4",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799368041",
            "country_code": "US",
            "telephone_number": "915-257-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEHEDEH",
        "first_name": "LAILANI",
        "credential": "M.S.- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.