Individual provider Active NPI

Blanca E Garcia, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Porter, TX
National Provider Identifier
1144504150
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111762 Issued in TX
Practice address
20547 Albritton Terrace Dr
Porter, TX 77365-8601
Phone
(956) 451-7354
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 36428 TX
Speech-Language Pathologist 235Z00000X 111762 TX Primary

Addresses

Primary practice location

20547 Albritton Terrace Dr
Porter, TX 77365-8601

Mailing address

20547 Albritton Terrace Dr
Porter, TX 77365-8601
Phone (956) 451-7354

Other practice location 1

1205 N Raul Longoria Rd
Suite I
San Juan, TX 78589-3720
Phone (956) 782-5800

Other identifiers 1

IdentifierTypeStateIssuer
36428OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001837 TX Practitioner - Qualified Speech Language Pathologist 7618392234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
111762TXMDClinical Social Worker
36428TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eko Speech Therapy PLLC Speech-Language Pathologist CurrentSince Apr 25, 2020 Accepting new patients

Locations

24420 FM 1314 Rd
Ste 18
Porter, TX 77365
Phone (936) 697-0982

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1144504150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20547 ALBRITTON TERRACE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773658601",
            "telephone_number": "956-451-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20547 ALBRITTON TERRACE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773658601",
            "telephone_number": "956-451-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 N Raul Longoria Rd",
            "address_2": "Suite I",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785893720",
            "country_code": "US",
            "telephone_number": "956-782-5800",
            "fax_number": "956-782-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BLANCA",
        "middle_name": "E",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "36428",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "36428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.