Individual provider Active NPI

Magda Beatriz Jesus Cerpa Amado, MS.,CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1083115000
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108466 Issued in TX
Practice address
12255 Oxford Crescent Cir
Houston, TX 77082-1775
Phone
(832) 703-9572
NPI assigned
Feb 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

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 108466 TX Primary

Addresses

Primary practice location

12255 Oxford Crescent Cir
Houston, TX 77082-1775

Mailing address

12255 Oxford Crescent Cir
Houston, TX 77082-1775
Phone (832) 703-9572

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
108466TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1083115000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 OXFORD CRESCENT CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821775",
            "telephone_number": "832-703-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 OXFORD CRESCENT CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821775",
            "telephone_number": "832-703-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERPA AMADO",
        "first_name": "MAGDA",
        "middle_name": "BEATRIZ JESUS",
        "credential": "MS.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.