Individual provider Active NPI

Vanessa Aguirre, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Corpus Christi, TX
National Provider Identifier
1114410115
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111716 Issued in TX
Practice address
4202 Hermosa Dr
Corpus Christi, TX 78411-4535
Phone
(361) 728-9192
Fax
(361) 334-1136
NPI assigned
Jun 13, 2018
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 111716 TX Primary

Addresses

Primary practice location

4202 Hermosa Dr
Corpus Christi, TX 78411-4535

Mailing address

6725 Old Square Dr
Corpus Christi, TX 78414-5513
Phone (956) 203-7652

Other practice location 1

6725 Old Square Dr
Corpus Christi, TX 78414-5513
Phone (956) 203-7652

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
111716TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1114410115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 OLD SQUARE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784145513",
            "telephone_number": "956-203-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 HERMOSA DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114535",
            "telephone_number": "361-728-9192",
            "fax_number": "361-334-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 Old Square Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784145513",
            "country_code": "US",
            "telephone_number": "956-203-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "VANESSA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.