Celene Alvarado

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118671 Issued in TX

Practice address

2000 Eagle Aerie LN
St Paul, TX 75098-0259

Phone

(972) 429-2600

NPI assigned

Nov 12, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2022.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1306502489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EAGLE AERIE LN",
            "city": "ST PAUL",
            "state": "TX",
            "postal_code": "750980259",
            "telephone_number": "972-429-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EAGLE AERIE LN",
            "city": "ST PAUL",
            "state": "TX",
            "postal_code": "750980259",
            "telephone_number": "972-429-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "CELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34118128",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deprece Supportive Services, LLC
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• Guadalupe Lopez, LVN
• Bruce Alan Parsons, PSY.D.

• All providers in St Paul, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.