Individual provider Active NPI

Jacqueline Nicole Alvarado, SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1265726772
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105947 Issued in TX
Practice address
3105 N Yarbrough Dr Ste 105
El Paso, TX 79925
Phone
(915) 820-3944
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 105947 TX Primary

Addresses

Primary practice location

3105 N Yarbrough Dr Ste 105
El Paso, TX 79925

Mailing address

1605 George Dieter Dr Ste 536
El Paso, TX 79936-5600
Phone (915) 671-1371

Other practice location 1

1477 Lomaland Dr Ste E7
El Paso, TX 79935-4704
Phone (915) 599-6690 ext. 13054

Other practice location 2

3905 Jefferson Ave
El Paso, TX 79930
Phone (915) 820-3944

Other identifiers 1

IdentifierTypeStateIssuer
105947OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525001680 TX Practitioner - Qualified Speech Language Pathologist 0941688345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chrysalis Aphasia and Adult Speech RehabilitationGroup PAC ID 0042698441, 2 clinicians

Practice addresses (Care Compare)

3905 Jefferson Ave
El Paso, TX 79930-6613
Phone (915) 820-3944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Aphasia and Adult Speech Rehabilitation Speech-Language Pathologist CurrentSince May 17, 2022 Accepting new patients

Locations

1605 George Dieter Dr
Ste 536
El Paso, TX 79936

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

3105 N Yarbrough Dr
Ste 105
El Paso, TX 79925
Phone (915) 820-3944

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1265726772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 536",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N YARBROUGH DR STE 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-820-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1477 Lomaland Dr Ste E7",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799354704",
            "country_code": "US",
            "telephone_number": "915-599-6690 x13054",
            "fax_number": "915-592-7168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79930",
            "country_code": "US",
            "telephone_number": "915-820-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "105947",
            "state": "TX"
        }
    ],
    "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 Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.