Active NPI
Adriana Elena Lopez
- Speech-Language Pathologist
- Laredo, TX
National Provider Identifier
1194399196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 34539
- Practice address
- 3507 Jaime Zapata Memorial Hwy Ste 1&2
Laredo, TX 78043-4769 - Phone
- (956) 753-6355
- NPI assigned
- May 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 34539 | TX | Primary |
Addresses
Primary practice location
3507 Jaime Zapata Memorial Hwy Ste 1&2
Laredo, TX 78043-4769
Mailing address
2603 Clark Blvd
Laredo, TX 78043-2419
Phone (956) 740-2603
Other practice location 1
2603 Clark Blvd
Laredo, TX 78043-2419
Phone (956) 740-2603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laredo |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34539 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magical Kids Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Laredo, TX
- NPI 1255612412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1194399196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 CLARK BLVD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780432419",
"telephone_number": "956-740-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 JAIME ZAPATA MEMORIAL HWY STE 1&2",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434769",
"telephone_number": "956-753-6355"
}
],
"practiceLocations": [
{
"address_1": "2603 Clark Blvd",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780432419",
"country_code": "US",
"telephone_number": "956-740-2603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "ADRIANA",
"middle_name": "ELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "34539",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laredo",
"affiliation": "N",
"address_1": "3507 Jaime Zapata Memorial Hwy Ste 1&2",
"city": "Laredo",
"state": "TX",
"country_code": "US",
"postal_code": "780434769",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.