Individual provider Active NPI

Stephany Lopez

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1184135014
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114137 Issued in TX
Practice address
1527 Brown St Ste a-1
El Paso, TX 79902-4736
Phone
(915) 600-2069
Fax
(915) 500-1875
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X C-6326 NM
Speech-Language Pathologist 235Z00000X 114137 TX Primary

Addresses

Primary practice location

1527 Brown St Ste a-1
El Paso, TX 79902-4736

Mailing address

1527 Brown St Ste a-1
El Paso, TX 79902-4736
Phone (915) 600-2069

Other practice location 1

1111 Barranca Dr Ste A-1
El Paso, TX 79935-5004
Phone (915) 600-2069

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
114137TXMDOccupational Therapist
C-6326NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1184135014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 BROWN ST STE A-1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024736",
            "telephone_number": "915-600-2069",
            "fax_number": "915-500-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 BROWN ST STE A-1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024736",
            "telephone_number": "915-600-2069",
            "fax_number": "915-500-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Barranca Dr Ste A-1",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799355004",
            "country_code": "US",
            "telephone_number": "915-600-2069",
            "fax_number": "915-500-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "STEPHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-6326",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114137",
            "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 Jan 28, 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.

Verify at the official NPI Registry.