Active NPI
Ileana Torres
- Speech-Language Assistant
- Tyler, TX
National Provider Identifier
1336552728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 36173
- Practice address
- 921 Shiloh Rd
Suite C-120
Tyler, TX 75703-1431 - Phone
- (903) 939-2800
- NPI assigned
- Jun 3, 2014
- Last updated
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 36173 | TX | Primary |
Addresses
Primary practice location
921 Shiloh Rd
Suite C-120
Tyler, TX 75703-1431
Mailing address
PO Box 296
Bullard, TX 75757-0296
Phone (903) 376-6651
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36173 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1336552728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 296",
"city": "BULLARD",
"state": "TX",
"postal_code": "757570296",
"telephone_number": "903-376-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 SHILOH RD",
"address_2": "SUITE C-120",
"city": "TYLER",
"state": "TX",
"postal_code": "757031431",
"telephone_number": "903-939-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "ILEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "36173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.