Individual provider Active NPI

Jessica Denise Angeles, CF-SLP

  • Speech-Language Pathologist
  • Castroville, TX
National Provider Identifier
1215641600
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120509 Issued in TX
Practice address
8449 FM 471 S
Castroville, TX 78009-5313
Phone
(830) 931-2243
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 120509 TX Primary

Addresses

Primary practice location

8449 FM 471 S
Castroville, TX 78009-5313

Mailing address

365 County Road 2740
Mico, TX 78056-5353
Phone (121) 053-5818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.aguilarangeles@mvisd.org Direct

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
120509TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medina Valley Isd PastSince Jan 15, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.aguilarangeles@mvisd.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1215641600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COUNTY ROAD 2740",
            "city": "MICO",
            "state": "TX",
            "postal_code": "780565353",
            "telephone_number": "121-053-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 FM 471 S",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780095313",
            "telephone_number": "830-931-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "JESSICA",
        "middle_name": "DENISE",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.aguilarangeles@mvisd.org",
            "affiliation": "N",
            "endpointDescription": "Secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8449 Fm 471 S",
            "city": "Castroville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780095313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.