Individual provider Active NPI

Yessica Astrid Vazquez

  • Speech-Language Assistant
  • Palmhurst, TX
National Provider Identifier
1326436726
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
37362 Issued in TX
Practice address
123 W Mile 3 Rd Ste a-103
Palmhurst, TX 78573-1633
Phone
(956) 585-9889
Fax
(956) 585-9896
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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 37362 TX Primary

Addresses

Primary practice location

123 W Mile 3 Rd Ste a-103
Palmhurst, TX 78573-1633

Mailing address

123 W Mile 3 Rd Ste a-103
Palmhurst, TX 78573-1633
Phone (956) 585-9889

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
37362TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1326436726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W MILE 3 RD STE A-103",
            "city": "PALMHURST",
            "state": "TX",
            "postal_code": "785731633",
            "telephone_number": "956-585-9889",
            "fax_number": "956-585-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W MILE 3 RD STE A-103",
            "city": "PALMHURST",
            "state": "TX",
            "postal_code": "785731633",
            "telephone_number": "956-585-9889",
            "fax_number": "956-585-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "YESSICA",
        "middle_name": "ASTRID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "37362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmhurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.