Individual provider Active NPI

Dolores Longoria, SLP-ASSISTANT

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1063801728
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
38875 Issued in TX
Practice address
3201 Cherry Ridge St
Ste. C-323
San Antonio, TX 78230-4823
Phone
(210) 349-1415
Fax
(210) 349-1417
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 38875 TX Primary

Addresses

Primary practice location

3201 Cherry Ridge St
Ste. C-323
San Antonio, TX 78230-4823

Mailing address

3201 Cherry Ridge St
Ste. C-323
San Antonio, TX 78230-4823
Phone (210) 349-1415

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

State licenses

LicenseStateTypeSpecialty
38875TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Learning, LP Speech-Language Pathologist PastSince Feb 17, 2016 Accepting new patients

Organizations & group practices 1

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1063801728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST",
            "address_2": "STE. C-323",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-349-1415",
            "fax_number": "210-349-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST",
            "address_2": "STE. C-323",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-349-1415",
            "fax_number": "210-349-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "DOLORES",
        "credential": "SLP-ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "38875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.