Cynthia A Mondragon, B.S., SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA7550 Issued in NM

Practice address

400 1St St
Dexter, NM 88230

Phone

(575) 734-5434

NPI assigned

Nov 24, 2021

Last updated

Nov 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1306503339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "882300594",
            "telephone_number": "575-317-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 1ST ST",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "88230",
            "telephone_number": "575-734-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRAGON",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "B.S., SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NM",
            "license": "SLPA7550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emigdia Herrera-Tello
• La Joya, LLC
• David Salcido Martinez
• Mariana Medina
• Midway Youth and Family Development Center, Inc
• Clarissa Renee Otero, MASTER SOCIAL WORKER
• Harry Robert Parsons III, DDS
• Erica Portio
• Celestina Prieto
• Naeemah Nicole Reese, P-LMSW

• Speech-Language Assistant in Dexter, NM
• Providers in Dexter, NM by specialty
• Speech-Language Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.