Active NPI
Diana Nicole Perez
- Speech-Language Pathologist
- Boerne, TX
National Provider Identifier
1336084128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 123728
- Practice address
- 18 Scenic Loop Rd # 200D
Boerne, TX 78006-8672 - Phone
- (830) 755-0098
- Fax
- (830) 327-0099
- NPI assigned
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18 Scenic Loop Rd
200D
Boerne, TX 78006-8606
3838 Lockhill Selma Rd
Apt 313
San Antonio, TX 78230-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515003101 | TX | Practitioner - Qualified Speech Language Pathologist | 3971072216 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123728 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Pediatric Therapy LLC | Current | Accepting new patients |
Locations
18 Scenic Loop Rd
#200D
Boerne, TX 78006
Phone (817) 800-4431
18 Scenic Loop Rd
Ste 200D
Boerne, TX 78006
Phone (830) 755-0098
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 123728 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
18 Scenic Loop Rd # 200D
Boerne, TX 78006-8672
Mailing address
3838 Lockhill Selma Rd Apt 313
San Antonio, TX 78230-1570
Phone (830) 755-0098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2026.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1336084128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 LOCKHILL SELMA RD APT 313",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301570",
"telephone_number": "830-755-0098",
"fax_number": "830-327-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 SCENIC LOOP RD # 200D",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068672",
"telephone_number": "830-755-0098",
"fax_number": "830-327-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DIANA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "123728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.