Individual provider Active NPI

Emily Garcia, MS CCC-SLP

  • Speech-Language Pathologist
  • North Las Vegas, NV
National Provider Identifier
1063729044
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3965 W Cheyenne Ave Ste 101
North Las Vegas, NV 89032-8905
Phone
(702) 515-4009
NPI assigned
Sep 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 Primary

Addresses

Primary practice location

3965 W Cheyenne Ave Ste 101
North Las Vegas, NV 89032-8905

Mailing address

2114 Bethesda Fountain Rd
North Las Vegas, NV 89031-3884
Phone (213) 880-2190

Other practice location 1

2114 Bethesda Fountain Rd
North Las Vegas, NV 89031-3884
Phone (213) 880-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129003259 NV Practitioner - Qualified Speech Language Pathologist 2769818368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speakeasy Therapy Services LLCGroup PAC ID 3870867369, 11 clinicians

Practice addresses (Care Compare)

2490 Paseo Verde Pkwy
Suite 155
Henderson, NV 89074-7120
Phone (702) 515-4009

7425 W Azure Dr
Suite 140
Las Vegas, NV 89130-4425
Phone (702) 515-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Habla Speech-Language Pathologist CurrentSince Mar 24, 2024 Accepting new patients
Speakeasy Therapy Services, LLC Speech-Language Pathologist CurrentSince Aug 18, 2024 Accepting new patients
Speakeasy Therapy Services, LLC Speech-Language Pathologist CurrentSince Sep 13, 2019 Accepting new patients

Locations

2490 Paseo Verde Pkwy
Ste 155
Henderson, NV 89074
Phone (702) 703-5540

7425 W Azure Dr
Ste 140
Las Vegas, NV 89130
Phone (702) 983-3409

3965 W Cheyenne Ave
Ste 101
North Las Vegas, NV 89032

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": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1063729044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 BETHESDA FOUNTAIN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313884",
            "telephone_number": "213-880-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 W CHEYENNE AVE STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328905",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 Bethesda Fountain Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890313884",
            "country_code": "US",
            "telephone_number": "213-880-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EMILY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.