Individual provider Active NPI

Stephanie Delcampo, SLP CF

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1356536643
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
C-4207 Issued in NM
Practice address
7220 Sidewinder Dr NE
Albuquerque, NM 87113-1302
Phone
(505) 345-4601
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X C-4207 NM Primary

Addresses

Primary practice location

7220 Sidewinder Dr NE
Albuquerque, NM 87113-1302

Mailing address

7220 Sidewinder Dr NE
Albuquerque, NM 87113-1302
Phone (505) 345-4601

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
C-4207NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1356536643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 SIDEWINDER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131302",
            "telephone_number": "505-345-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 SIDEWINDER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131302",
            "telephone_number": "505-345-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCAMPO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "SLP CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.