Eastern New Mexico University

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EASTERN NEW MEXICO UNIVERSITY

Doing business as

ENMU Sports Medicine

Practice address

1500 S Avenue K
Portales, NM 88130-7400

Phone

(972) 367-4845

Fax

(972) 367-3451

NPI assigned

Jun 30, 2015

Last updated

Jul 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• ENMU Sports Medicine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Standefer, MSCCCSLP

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1114379229
  NPD

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1053794727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650850",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S AVENUE K",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881307400",
            "telephone_number": "972-367-4845",
            "fax_number": "972-367-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN NEW MEXICO UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENMU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hope Douglas
• Emma Duffy
• Desiree Marie Durrett
• Eastern Family Dentistry, LLC
• Eastern Medical Associates LLC
• Eastern New Mexico University (ENMU Speech Hearing Outreach Rehabilitation Center)
• Justin R Ennis
• Ernestine Tennefos
• Ernestine Tennefos
• Rachel Christine Ervin

• Speech-Language Pathologist in Portales, NM
• Providers in Portales, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.