Paula Andrea Villacres, CCC-SLP/TSSLD-BE

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029097 Issued in NY

Practice address

8802 144TH St
Jamaica, NY 11435-3234

Phone

(718) 526-4139

Fax

(718) 297-0290

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

Yes

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1184274888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BETHLYNN CT",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 144TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353234",
            "telephone_number": "718-526-4139",
            "fax_number": "718-297-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACRES",
        "first_name": "PAULA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP/TSSLD-BE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Vil Vil Jean-Baptiste
• Nicole Vilain
• Virginia Vilar Sampaio, MD
• Irma Vilbert
• Tatiana Villa
• Village Family Health NP Services PLLC
• Tatiana Villalobos, M.D.
• Wilfred Torres Villamater, PT
• Analee Villanueva
• Imelda Villanueva

• Speech-Language Pathologist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.