Yvonne S Cardenas, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102924 Issued in TX

Practice address

1719 W 10TH St
Dallas, TX 75208-5855

Phone

(405) 355-3239

Fax

(405) 212-4270

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1124104963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085855",
            "telephone_number": "405-355-3239",
            "fax_number": "405-212-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085855",
            "telephone_number": "405-355-3239",
            "fax_number": "405-212-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "YVONNE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255050A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188735802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Alejandro Cardenas, MD
• Justin Michael Cardenas
• Klarissa Denise Cardenas
• Paulina Cardenas, RN
• Taylor Renee Cardenas, LCSW-S
• Henry Maurice Carder, MD
• Kerry Robin Carder, MD
• Laura Jean Carder, CNP
• Lizabeth Carder, FNP
• Cardiac and Vascular Physicians of Dallas, Inc

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.