Active NPI
Karin M De la Fuente, MS,CCC-SLP
- Speech-Language Pathologist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14879
- Practice address
- 1307 Wyoming Ave
El Paso, TX 79902-5522 - Phone
- (915) 600-2069
- Fax
- (915) 500-1875
- NPI assigned
- May 31, 2007
- Last updated
- May 30, 2023
- 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 | 14879 | TX | Primary |
Addresses
Primary practice location
1307 Wyoming Ave
El Paso, TX 79902-5522
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 practice location 2
1527 Brown St Unit A-1
El Paso, TX 79902-4736
Phone (915) 600-2069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14879 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1307 Wyoming Ave
El Paso, TX 79902-5522
Phone (915) 600-2069
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14879 | TX | MD | Addiction (Substance Use Disorder) Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- El Paso, TX
- NPI 1275824294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1205037744",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 WYOMING AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025522",
"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"
},
{
"address_1": "1527 Brown St Unit A-1",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799024736",
"country_code": "US",
"telephone_number": "915-600-2069",
"fax_number": "915-500-1875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA FUENTE",
"first_name": "KARIN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "14879",
"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 May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.