Audrey Renee Alba, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111433 Issued in TX

Practice address

1401 Montana Ave Ste C
El Paso, TX 79902-5654

Phone

(915) 209-0014

Fax

(915) 792-0029

NPI assigned

Jul 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• 4 Gen Therapy Services LLC

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1619674256
  Medicare reassignment NPD Authorized official
• El Paso Speech & Language Service Excellence, Inc.

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1275824294
  Medicare reassignment
• El Paso del Norte Home Health Agency, Inc.

  dba El Paso Home Health

  • Home Health Agency
  • El Paso, TX
  • NPI 1295728996
  NPD

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1306101258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025654",
            "telephone_number": "915-209-0014",
            "fax_number": "915-792-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025654",
            "telephone_number": "915-209-0014",
            "fax_number": "915-792-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Trawood Dr Ste A100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799353383",
            "country_code": "US",
            "telephone_number": "915-333-0200",
            "fax_number": "915-792-0576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1527 Brown St Ste A-1",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024736",
            "country_code": "US",
            "telephone_number": "915-600-2069",
            "fax_number": "915-500-1875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Holguin Rd",
            "address_purpose": "LOCATION",
            "city": "Vado",
            "state": "NM",
            "postal_code": "880727220",
            "country_code": "US",
            "telephone_number": "575-233-2861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Barranca Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799355006",
            "country_code": "US",
            "telephone_number": "915-600-2069",
            "fax_number": "915-500-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBA",
        "first_name": "AUDREY",
        "middle_name": "RENEE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "36872",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://account.simplepractice.com",
            "affiliation": "N",
            "address_1": "1401 Montana Ave Ste C",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799025654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Michelle Alarcon, LVN
• Stephanie Alarcon
• Adrianna Guillermina Alatorre, LPC
• April Ann Alatorre, APN
• Alba Dental Care, PLLC
• Elva Alba
• Janet Ruth Alba, OTR
• Aymen Omar Albaghdadi, MD
• Steven A Albani, CO,LO
• Albert J Varela Center for Employee Assistance

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.