Active NPI
Stephanie Corral, SLPA-ASSISTANT
- Speech-Language Assistant
- Waco, TX
National Provider Identifier
1346751963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 40340
- Practice address
- 900 Washington Ave Ste 602
Waco, TX 76701-1283 - Phone
- (254) 296-9792
- NPI assigned
- Oct 23, 2017
- Last updated
- Oct 23, 2017
- 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 | 40340 | TX | Primary |
Addresses
Primary practice location
900 Washington Ave Ste 602
Waco, TX 76701-1283
Mailing address
900 Washington Ave Ste 602
Waco, TX 76701-1283
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 |
|---|---|---|---|
| 40340 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tots in Tow, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1346751963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WASHINGTON AVE STE 602",
"city": "WACO",
"state": "TX",
"postal_code": "767011283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WASHINGTON AVE STE 602",
"city": "WACO",
"state": "TX",
"postal_code": "767011283",
"telephone_number": "254-296-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRAL",
"first_name": "STEPHANIE",
"credential": "SLPA-ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "40340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
- Cornerstone Caregiving LLC (Cornerstone Caregiving)
- Cornerstone Caregiving West LLC (Cornerstone Caregiving)
- Natalie Michelle Cornett, DPT
- Cody Robert Corntassel, ATC, LAT
- Brisa Celeste Coronado Torres, LPC
- Elizabeth Corson, LMSW
- Christina Corwin-Gerhardt, LPC
- Robert Francis Corwin, M.D.
- Stephen Herbert Corwin, M.D.
- Coryell County Memorial Hospital Authority (Wesley Woods Health & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.