Active NPI
Javier Adrian Fraire, BACHELOR'S DEGREE
- Speech-Language Assistant
- El Paso, TX
National Provider Identifier
1225859705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 43864
- Practice address
- 120 Paragon LN Ste 218
El Paso, TX 79912-6317 - Phone
- (903) 251-2459
- NPI assigned
- Oct 18, 2024
- Sex
- Male
- Sole proprietor
- No
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 Assistant | 2355S0801X | 43864 | TX | Primary |
Addresses
Primary practice location
120 Paragon LN Ste 218
El Paso, TX 79912-6317
Mailing address
7161 Dale Rd Apt 1
El Paso, TX 79915-2334
Phone (915) 704-7806
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 |
|---|---|---|---|
| 43864 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1225859705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7161 DALE RD APT 1",
"city": "EL PASO",
"state": "TX",
"postal_code": "799152334",
"telephone_number": "915-704-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PARAGON LN STE 218",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126317",
"telephone_number": "903-251-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIRE",
"first_name": "JAVIER",
"middle_name": "ADRIAN",
"credential": "BACHELOR'S DEGREE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "43864",
"primary": true
}
],
"identifiers": [],
"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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.