Individual provider Active NPI

Jenifer Marie Aguilar, MS CCC/SLP

  • Speech-Language Pathologist
  • Spring, TX
National Provider Identifier
1275103707
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18622 Issued in TX
Practice address
6619 Misty Spring LN
Spring, TX 77379-4295
Phone
(281) 923-6860
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 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 18622 TX Primary

Addresses

Primary practice location

6619 Misty Spring LN
Spring, TX 77379-4295

Mailing address

6619 Misty Spring LN
Spring, TX 77379-4295
Phone (281) 923-6860

Other practice location 1

3100 Shenandoah St
Houston, TX 77021-1042
Phone (713) 523-3633

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenifer.aguilar@springbranchisd.com Direct

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
18622TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Therapy Works, Inc. Speech-Language Pathologist Past Accepting new patients
The Center for Hearing and Speech Speech-Language Pathologist PastSince Mar 16, 2011 Accepting new patients

Organizations & group practices 2

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1275103707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 MISTY SPRING LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794295",
            "telephone_number": "281-923-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 MISTY SPRING LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794295",
            "telephone_number": "281-923-6860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Shenandoah St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770211042",
            "country_code": "US",
            "telephone_number": "713-523-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "JENIFER",
        "middle_name": "MARIE",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenifer.aguilar@springbranchisd.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6619 Misty Spring Ln",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773794295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.