Active NPI
Denisse Gabriela Castillejos
- Speech-Language Pathologist
- El Paso, TX
National Provider Identifier
1194065953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11690
- Practice address
- 1527 Brown St Ste a
El Paso, TX 79902-4737 - Phone
- (915) 600-2069
- Fax
- (915) 500-1875
- NPI assigned
- Feb 15, 2013
- Last updated
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 37459 | TX | |
| Speech-Language Pathologist | 235Z00000X | 11690 | TX | Primary |
Addresses
Primary practice location
1527 Brown St Ste a
El Paso, TX 79902-4737
Mailing address
4849 N Mesa St Ste 201
El Paso, TX 79912-5919
Phone (915) 351-6600
Other practice location 1
11395 James Watt Dr Ste A6
El Paso, TX 79936-5941
Phone (915) 600-2069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149984001 | Medicaid | TX | |
| 116980 | Other | TX | TEXAS DEPARTMENT OF LICENSING & REGISTRATION |
| 2071649010 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11690 | TX | MD | Chiropractor |
| 37459 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1194065953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 N MESA ST STE 201",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125919",
"telephone_number": "915-351-6600",
"fax_number": "915-351-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 BROWN ST STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024737",
"telephone_number": "915-600-2069",
"fax_number": "915-500-1875"
}
],
"practiceLocations": [
{
"address_1": "11395 James Watt Dr Ste A6",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799365941",
"country_code": "US",
"telephone_number": "915-600-2069",
"fax_number": "915-500-1875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLEJOS",
"first_name": "DENISSE",
"middle_name": "GABRIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "37459",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "11690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149984001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LICENSING & REGISTRATION",
"identifier": "116980",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2071649010",
"state": "TX"
}
],
"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 Nov 11, 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.