Jennifer Sandoval

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

42138 Issued in TX

Practice address

14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856

Phone

(816) 919-3240

NPI assigned

Sep 20, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1144990144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BAY SHORE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405856",
            "telephone_number": "469-336-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548856",
            "telephone_number": "816-919-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Angelica Sandoval Cabanas, MD
• Alejandra Sandoval
• Alisa M Sandoval, OTR
• Diana Sandoval, PA-C
• Gisela Guadalupe Sandoval, COTA
• Jessica Sandoval, BCBA
• Sal S Sandoval, MD
• Sandra E Cuellar DPM , P.C. (Park Cities Foot Center)
• Sandra Illum MD PLLC (Advanced Heart and Vascular Center)
• Sandra Z. Brothers, MD, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.