Individual provider Active NPI

Yvonne De la Fuente Page, CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1255408829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13574 Issued in TX
Practice address
7434 Louis Pasteur Dr Ste 102
San Antonio, TX 78229-4539
Phone
(210) 614-8620
Fax
(210) 614-8621
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 13574 TX Primary

Addresses

Primary practice location

7434 Louis Pasteur Dr Ste 102
San Antonio, TX 78229-4539

Mailing address

7318 Steeple Crse
San Antonio, TX 78256-1607
Phone (210) 687-1459

Other identifiers 1

IdentifierTypeStateIssuer
87378TOtherTXBLUECROSSBLUESHIELD OF TE

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
13574TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255408829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 STEEPLE CRSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561607",
            "telephone_number": "210-687-1459",
            "fax_number": "210-614-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 LOUIS PASTEUR DR STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294539",
            "telephone_number": "210-614-8620",
            "fax_number": "210-614-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "YVONNE",
        "middle_name": "DE LA FUENTE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "13574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF TE",
            "identifier": "87378T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.