Active NPI
Ruby Clarisse Nava, M.S., CCC-SLP
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1295550184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118744
- Practice address
- 12000 Network Blvd Ste 105a
San Antonio, TX 78249-3344 - Phone
- (914) 444-0945
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118744 | TX | Primary |
Addresses
Primary practice location
12000 Network Blvd Ste 105a
San Antonio, TX 78249-3344
Mailing address
148 Dalehurst Dr
San Antonio, TX 78201-2201
Phone (956) 607-4710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118744 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1295550184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 DALEHURST DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782012201",
"telephone_number": "956-607-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 NETWORK BLVD STE 105A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493344",
"telephone_number": "914-444-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVA",
"first_name": "RUBY",
"middle_name": "CLARISSE",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118744",
"primary": true
}
],
"identifiers": [],
"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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.