Active NPI
Mary Anna Valderas, O.T.
- Home Health Agency
- Midlothian, TX
National Provider Identifier
1104242015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 104611
- Practice address
- 3081 Starwashed Dr
Midlothian, TX 76065-5476 - Phone
- (214) 478-6293
- NPI assigned
- Mar 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 104611 | TX | Primary |
Addresses
Primary practice location
3081 Starwashed Dr
Midlothian, TX 76065-5476
Mailing address
3081 Starwashed Dr
Midlothian, TX 76065-5476
Phone (214) 478-6293
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104611 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394928000000",
"number": "1104242015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3081 STARWASHED DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655476",
"telephone_number": "214-478-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3081 STARWASHED DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655476",
"telephone_number": "214-478-6293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDERAS",
"first_name": "MARY",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-16",
"last_updated": "2014-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "104611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.