Jennifer Roberts Villarreal

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

40934 Issued in TX

Practice address

1635 NE Loop 410
San Antonio, TX 78209-1625

Phone

(210) 457-2000

NPI assigned

Sep 28, 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

State licenses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1164193272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 NE LOOP 410 STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091619",
            "telephone_number": "210-457-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091625",
            "telephone_number": "210-457-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JENNIFER",
        "middle_name": "ROBERTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Villarreal
• Ivette Anahi Villarreal
• Jasmin Pua Villarreal, AGACNP
• Jennifer Villarreal
• Jennifer Christine Villarreal, M.S, LPC-A
• Jodi-Anne Kimone Villarreal
• Judy Angela Villarreal
• Karina Villarreal, APRN
• Katherine Leang Villarreal, CPNP
• Kim Marie Villarreal, LCSW

• Speech-Language Assistant in San Antonio, TX
• Providers in San Antonio, 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 28, 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.