Active NPI
Aisha Soueidan, SLP-ASSISTANT
- Speech-Language Pathologist
- El Paso, TX
National Provider Identifier
1154887479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 39469
- Practice address
- 444 Executive Center Blvd Ste 148
El Paso, TX 79902 - Phone
- (915) 600-2796
- NPI assigned
- Feb 11, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 39469 | TX | Primary |
Addresses
Primary practice location
444 Executive Center Blvd Ste 148
El Paso, TX 79902
Mailing address
444 Executive Center Blvd Ste 148
El Paso, TX 79902
Phone (915) 600-2796
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 |
|---|---|---|---|
| 39469 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Home Services of San Antonio, Inc. | 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 and National Provider Directory roles.
-
- Home Health Agency
- El Paso, TX
- NPI 1891131843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1154887479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 EXECUTIVE CENTER BLVD STE 148",
"city": "EL PASO",
"state": "TX",
"postal_code": "79902",
"telephone_number": "915-600-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 EXECUTIVE CENTER BLVD STE 148",
"city": "EL PASO",
"state": "TX",
"postal_code": "79902",
"telephone_number": "915-600-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUEIDAN",
"first_name": "AISHA",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "39469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.