Individual provider Active NPI

Vanessa Celis, SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1053592998
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104882 Issued in TX
Practice address
2150 Trawood Dr Ste A270
El Paso, TX 79935-3341
Phone
(915) 595-5959
Fax
(915) 595-5495
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 104882 TX Primary

Addresses

Primary practice location

2150 Trawood Dr Ste A270
El Paso, TX 79935-3341

Mailing address

2150 Trawood Dr Ste A270
El Paso, TX 79935-3341
Phone (915) 595-5959

Other practice location 1

6028 Surety Dr
El Paso, TX 79905-2024
Phone (915) 771-8523

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1053592998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE A270",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353341",
            "telephone_number": "915-595-5959",
            "fax_number": "915-595-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TRAWOOD DR STE A270",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353341",
            "telephone_number": "915-595-5959",
            "fax_number": "915-595-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6028 Surety Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052024",
            "country_code": "US",
            "telephone_number": "915-771-8523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELIS",
        "first_name": "VANESSA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104882",
            "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 Feb 5, 2019; 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.