Active NPI
Vanessa Aguirre, M.S., CCC-SLP
- Speech-Language Pathologist
- Corpus Christi, TX
National Provider Identifier
1114410115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111716
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 111716 | TX | MD | Speech-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.