Individual provider Active NPI

Vanessa Torres

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1114343076
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6109 Issued in OK
Practice address
2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931
Phone
(405) 355-3239
Fax
(405) 212-4270
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 6109 OK Primary

Addresses

Primary practice location

2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931

Mailing address

PO Box 12058
Oklahoma City, OK 73157-2058
Phone (405) 355-3239

Other practice location 1

1500 S Ave K
Station 3, SHROC
Portales, NM 88130
Phone (575) 562-2175

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

LicenseStateTypeSpecialty
6109OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Behavioral Therapy LLC CurrentSince Oct 6, 2024 Accepting new patients
Eastern New Mexico University Speech-Language Pathologist CurrentSince Nov 12, 2023 Accepting new patients
Bilingual Pediatric Therapies Speech-Language Pathologist PastSince Oct 8, 2023 Accepting new patients

Locations

1500 S Avenue K
#3
Portales, NM 88130
Phone (575) 562-2156

2219 SW 74th St
Ste 109115
Oklahoma City, OK 73159
Phone (305) 355-3239

Organizations & group practices 3

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1114343076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12058",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572058",
            "telephone_number": "405-355-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SW 74TH ST STE 109-115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593931",
            "telephone_number": "405-355-3239",
            "fax_number": "405-212-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Ave K",
            "address_2": "Station 3, SHROC",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NM",
            "postal_code": "88130",
            "country_code": "US",
            "telephone_number": "575-562-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.