Individual provider Active NPI

Cristina Clarissa Sandoval, M.S., CCC SLP

  • Speech-Language Pathologist
  • Edinburg, TX
National Provider Identifier
1235324294
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101914 Issued in TX
Practice address
411 N 8TH Ave
Edinburg, TX 78541-3309
Phone
(956) 289-2314
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 101914 TX Primary

Addresses

Primary practice location

411 N 8TH Ave
Edinburg, TX 78541-3309

Mailing address

411 N 8TH Ave
Edinburg, TX 78541-3309
Phone (956) 289-2314

Other practice location 1

2715 W Trenton Rd
Edinburg, TX 78539-3433
Phone (956) 683-1155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cristina.sandoval@ecisd.us

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
101914TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edinburg Cisd PastSince Aug 14, 2022 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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1235324294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N 8TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785413309",
            "telephone_number": "956-289-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N 8TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785413309",
            "telephone_number": "956-289-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 W Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785393433",
            "country_code": "US",
            "telephone_number": "956-683-1155",
            "fax_number": "956-683-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CRISTINA",
        "middle_name": "CLARISSA",
        "credential": "M.S., CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cristina.sandoval@ecisd.us",
            "affiliation": "N",
            "address_1": "411 N 8th Ave",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785413309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.