Active NPI
Harrellette Tate
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1104735919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP7908
- Practice address
- 6900 Stag Horn Dr NW
Albuquerque, NM 87120-4809 - Phone
- (505) 610-9075
- NPI assigned
- Sep 7, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP7908 | NM | Primary |
Addresses
Primary practice location
6900 Stag Horn Dr NW
Albuquerque, NM 87120-4809
Mailing address
6900 Stag Horn Dr NW
Albuquerque, NM 87120-4809
Phone (505) 610-9075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1104735919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 STAG HORN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204809",
"telephone_number": "505-610-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 STAG HORN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204809",
"telephone_number": "505-610-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "HARRELLETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLP7908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.