Raven Ahrens, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114542 Issued in TX

Practice address

1248 Austin Hwy Ste 210
San Antonio, TX 78209-4867

Phone

(210) 646-8008

Fax

(210) 646-8242

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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.

• S. Potts and Professionals, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • San Antonio, TX
  • NPI 1245342773

  Speech-Language Pathologist

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1174192041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 AUSTIN HWY STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094867",
            "telephone_number": "210-646-8008",
            "fax_number": "210-646-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AUSTIN HWY STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094867",
            "telephone_number": "210-646-8008",
            "fax_number": "210-646-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "RAVEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r.ahrens@pediatrictherapyassoc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1248 Austin Hwy Ste 210",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782094867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sumaira Ahmed, M.D.
• Sundas Irfan Ahmed, MD
• Vivian Bella Ahn, M.D.
• Ahome Heart Provider Services, LLC
• Lynelle Ahrens
• Alex B Ahrmendi Sr.
• Syed K. Ahsan, MD
• Seema S Ahuja, MD
• Sunil Ahuja, MD
• Sandra C Ahukanna

• All providers in San Antonio, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.