Individual provider Active NPI

Veronica Isabel Diaz, MS

  • Speech-Language Pathologist
  • Del Valle, TX
National Provider Identifier
1225207608
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103964 Issued in TX
Practice address
5301 Ross Rd
Del Valle, TX 78617-3288
Phone
(512) 386-3080
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 103964 TX Primary

Addresses

Primary practice location

5301 Ross Rd
Del Valle, TX 78617-3288

Mailing address

2320 Aldford Dr
Austin, TX 78745-4846
Phone (956) 236-4438

Other practice location 1

5604 Fm 1327
Creedmoor, TX 78610-2039
Phone (512) 386-3950

Other identifiers 1

IdentifierTypeStateIssuer
003614701MedicaidTX

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103964TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Speech Pathology Services, Inc Speech-Language Pathologist PastSince Dec 3, 2015 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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1225207608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 ALDFORD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454846",
            "telephone_number": "956-236-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ROSS RD",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173288",
            "telephone_number": "512-386-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 Fm 1327",
            "address_purpose": "LOCATION",
            "city": "Creedmoor",
            "state": "TX",
            "postal_code": "786102039",
            "country_code": "US",
            "telephone_number": "512-386-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "VERONICA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003614701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Valle, 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.

Verify at the official NPI Registry.