Active NPI
Natalie Jesabel Mascorro, SLP
- Speech-Language Pathologist
- Pharr, TX
National Provider Identifier
1144481474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104121
- Practice address
- 601 E Kelly Ave
Pharr, TX 78577-4905 - Phone
- (956) 289-6225
- NPI assigned
- Jun 19, 2008
- Last updated
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 104121 | TX | Primary |
Addresses
Primary practice location
601 E Kelly Ave
Pharr, TX 78577-4905
Mailing address
1608 Stonegate Dr
Mission, TX 78574-2764
Phone (956) 289-6225
Other practice location 1
7600 W Expressway 83
Mission, TX 78572-9561
Phone (956) 581-7171
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 |
|---|---|---|---|
| 104121 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thera-Care Rehab Services, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Mission, TX
- NPI 1548288202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1144481474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 STONEGATE DR",
"city": "MISSION",
"state": "TX",
"postal_code": "785742764",
"telephone_number": "956-289-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E KELLY AVE",
"city": "PHARR",
"state": "TX",
"postal_code": "785774905",
"telephone_number": "956-289-6225"
}
],
"practiceLocations": [
{
"address_1": "7600 W Expressway 83",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785729561",
"country_code": "US",
"telephone_number": "956-581-7171",
"fax_number": "956-519-3935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASCORRO",
"first_name": "NATALIE",
"middle_name": "JESABEL",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.