Individual provider Active NPI

Angelica Crystal Valero, SLP

  • Speech-Language Pathologist
  • Corpus Christi, TX
National Provider Identifier
1184765893
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116012 Issued in TX
Practice address
10830 Silverton Dr
Corpus Christi, TX 78410-2241
Phone
(361) 562-6031
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 116012 TX Primary

Addresses

Primary practice location

10830 Silverton Dr
Corpus Christi, TX 78410-2241

Mailing address

600 College Street
Portland, TX 78374
Phone (361) 562-6031

Other identifiers 1

IdentifierTypeStateIssuer
116012OtherTXTDLR LICENSE

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

LicenseStateTypeSpecialty
116012TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Rehab Services Inc Speech-Language Pathologist Past Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1184765893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COLLEGE STREET",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374",
            "telephone_number": "361-562-6031",
            "fax_number": "361-777-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 SILVERTON DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784102241",
            "telephone_number": "361-562-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERO",
        "first_name": "ANGELICA",
        "middle_name": "CRYSTAL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR LICENSE",
            "identifier": "116012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.