Individual provider Active NPI

Elaine Palma, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Las Cruces, NM
National Provider Identifier
1154533867
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4350 Issued in NM
Practice address
1090 Med Park Dr.
Las Cruces, NM 88005-3236
Phone
(575) 523-7243
Fax
(575) 525-5641
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19646 TX
Speech-Language Pathologist 235Z00000X 4350 NM
Speech-Language Pathologist 235Z00000X SLP4350 NM Primary

Addresses

Primary practice location

1090 Med Park Dr.
Las Cruces, NM 88005-3236

Mailing address

6520 Vista de Oro
Las Cruces, NM 88007-4945
Phone (575) 680-6236

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

LicenseStateTypeSpecialty
19646TXMDProfessional Counselor
4350NMMDSpeech-Language Pathologist
SLP4350NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Therapy Services, LLP Speech-Language Pathologist CurrentSince Apr 17, 2022 Accepting new patients

Locations

301 Perkins Dr
Ste C
Las Cruces, NM 88005
Phone (575) 523-7243

1090 Med Park Dr
Las Cruces, NM 88005
Phone (575) 523-7243

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1154533867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 VISTA DE ORO",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074945",
            "telephone_number": "575-680-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MED PARK DR.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053236",
            "telephone_number": "575-523-7243",
            "fax_number": "575-525-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "ELAINE",
        "credential": "M.A.  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19646",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4350",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.