Active NPI
Jacob Thomas Padilla, ASL
- Speech-Language Pathologist
- Las Cruces, NM
National Provider Identifier
1104553650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SAH-2025-0068
- Practice address
- 1090 Med Park Dr.
Las Cruces, NM 88005-3236 - Phone
- (575) 523-7243
- Fax
- (575) 525-5641
- NPI assigned
- Aug 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPA7463 | NM | |
| Speech-Language Pathologist | 235Z00000X | SAH-2025-0068 | NM | Primary |
Addresses
Primary practice location
1090 Med Park Dr.
Las Cruces, NM 88005-3236
Mailing address
301 Perkins Dr.
Ste C
Las Cruces, NM 88005-3248
Phone (575) 523-7243
Other practice location 1
505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone (575) 527-5884
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 |
|---|---|---|---|
| SAH-2025-0068 | NM | MD | Speech-Language Pathologist |
| SLPA7463 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces School District No. 2 | Current | Accepting new patients | |
| Direct Therapy Services, LLP | Speech-Language Pathologist | Past | Accepting new patients |
Locations
505 S Main St
Ste 249
Las Cruces, NM 88001
Phone (575) 527-5823
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.
-
- Local Education Agency (LEA)
- Las Cruces, NM
- NPI 1851301857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1104553650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PERKINS DR.",
"address_2": "STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053248",
"telephone_number": "575-523-7243",
"fax_number": "575-525-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 MED PARK DR.",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053236",
"telephone_number": "575-523-7243",
"fax_number": "575-525-5641"
}
],
"practiceLocations": [
{
"address_1": "505 S Main St Ste 249",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880011243",
"country_code": "US",
"telephone_number": "575-527-5884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA",
"first_name": "JACOB",
"middle_name": "THOMAS",
"credential": "ASL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-04",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLPA7463",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SAH-2025-0068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.