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
- 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 and National Provider Directory roles.
-
- Home Health Agency
- Austin, TX
- NPI 1700286580
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 West LLC
- 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
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.