NPIMap

Organization Active NPI

SRN Speech Therapy, PC

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1356713671
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4021 Issued in TX
Legal business name
SRN SPEECH THERAPY, PC
Practice address
6058 Via de Los Arboles
El Paso, TX 79932-1829
Phone
(915) 629-7663
Fax
(915) 629-7673
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Mr. Sergio Ruben Navarrete, M.S. CCC-SLPNPI 1306953070
Title
President/ Speech Language Patholog
Phone
(915) 329-9723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4021 TX Primary

Addresses

Primary practice location

6058 Via de Los Arboles
El Paso, TX 79932-1829

Mailing address

6058 Via de Los Arboles
El Paso, TX 79932-1829
Phone (915) 629-7663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191118001351 TX Part B Supplier - Clinic/Group Practice 0042642779 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

615 E Schuster Ave
Ste 8
El Paso, TX 79902
Phone (915) 533-1799

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1356713671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 VIA DE LOS ARBOLES",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321829",
            "telephone_number": "915-629-7663",
            "fax_number": "915-629-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 VIA DE LOS ARBOLES",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321829",
            "telephone_number": "915-629-7663",
            "fax_number": "915-629-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRN SPEECH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT/ SPEECH LANGUAGE PATHOLOG",
        "authorized_official_telephone_number": "915-329-9723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.