Individual provider Active NPI

Tiffany Espericueta

  • Speech-Language Pathologist
  • Edinburg, TX
National Provider Identifier
1285210906
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117887 Issued in TX
Practice address
3127 S Sugar Rd Ste B
Edinburg, TX 78539-9726
Phone
(956) 380-6100
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 117887 TX Primary

Addresses

Primary practice location

3127 S Sugar Rd Ste B
Edinburg, TX 78539-9726

Mailing address

3127 S Sugar Rd Ste B
Edinburg, TX 78539-9726
Phone (956) 380-6100

Other identifiers 1

IdentifierTypeStateIssuer
117887OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@eliterehab.org 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

State licenses

LicenseStateTypeSpecialty
117887TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehab Services, L.L.C. Speech-Language Pathologist PastSince Mar 28, 2021 Accepting new patients
Elite Rehab Services, LLC PastSince Mar 28, 2021 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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1285210906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 S SUGAR RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399726",
            "telephone_number": "956-380-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 S SUGAR RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399726",
            "telephone_number": "956-380-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPERICUETA",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "117887",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@eliterehab.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3127 S Sugar Rd Ste B",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785399726",
            "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 Mar 23, 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.