Individual provider Active NPI

Priscilla Esmeralda Simental-Lopez, SLP- ASSISTANT

  • Speech-Language Assistant
  • Arlington, TX
National Provider Identifier
1285327155
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
43103 Issued in TX
Practice address
1112 E Copeland Rd Ste 300
Arlington, TX 76011-4910
Phone
(214) 641-7796
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 43103 TX Primary

Addresses

Primary practice location

1112 E Copeland Rd Ste 300
Arlington, TX 76011-4910

Mailing address

1826 Idaho Ave
Dallas, TX 75216-2026
Phone (214) 641-7796

Other practice location 1

1826 Idaho Ave
Dallas, TX 75216-2026
Phone (214) 641-7796

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
43103TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1285327155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 IDAHO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752162026",
            "telephone_number": "214-641-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E COPELAND RD STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114910",
            "telephone_number": "214-641-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1826 Idaho Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752162026",
            "country_code": "US",
            "telephone_number": "214-641-7796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMENTAL-LOPEZ",
        "first_name": "PRISCILLA",
        "middle_name": "ESMERALDA",
        "credential": "SLP- ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "43103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.