Active NPI
Jessica Lee Heredia
- Hearing Instrument Specialist
- Weslaco, TX
National Provider Identifier
1134556145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80553
- Practice address
- 413 W Pike Blvd
Suite C
Weslaco, TX 78596-4706 - Phone
- (956) 647-5061
- Fax
- (956) 647-5157
- NPI assigned
- Oct 4, 2013
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 80553 | TX | Primary |
Addresses
Primary practice location
413 W Pike Blvd
Suite C
Weslaco, TX 78596-4706
Mailing address
413 W Pike Blvd
Suite C
Weslaco, TX 78596-4706
Phone (956) 647-5061
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80553 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1134556145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 W PIKE BLVD",
"address_2": "SUITE C",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964706",
"telephone_number": "956-647-5061",
"fax_number": "956-647-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 W PIKE BLVD",
"address_2": "SUITE C",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964706",
"telephone_number": "956-647-5061",
"fax_number": "956-647-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREDIA",
"first_name": "JESSICA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.