Individual provider Active NPI

Priscilla Mary Ann Vela, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Harlingen, TX
National Provider Identifier
1104094085
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101901 Issued in TX
Practice address
2422 E Tyler Ave #C
Harlingen, TX 78550
Phone
(956) 423-9171
Fax
(956) 361-5440
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 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 101901 TX Primary

Addresses

Primary practice location

2422 E Tyler Ave #C
Harlingen, TX 78550

Mailing address

1217 W Houston Ave
McAllen, TX 78501-5012
Phone (956) 631-9171

Other identifiers 1

IdentifierTypeStateIssuer
310991002MedicaidTX

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
101901TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Rio Grande Valley Speech-Language Pathologist CurrentSince Aug 11, 2019 Accepting new patients
Kids Round Up Pediatric Rehab LLC Past Accepting new patients

Locations

2422 E Tyler Ave
Ste C
Harlingen, TX 78550
Phone (956) 423-9171

1217 W Houston Ave
McAllen, TX 78501
Phone (956) 631-9171

Organizations & group practices 2

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1104094085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W HOUSTON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015012",
            "telephone_number": "956-631-9171",
            "fax_number": "956-631-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 E TYLER AVE #C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-423-9171",
            "fax_number": "956-361-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "PRISCILLA",
        "middle_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310991002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.