Individual provider Active NPI

Annette Yvonne Garcia, MS, CCC, SLP

  • Speech-Language Pathologist
  • McAllen, TX
National Provider Identifier
1376778548
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104095 Issued in TX
Practice address
232 Lindberg Ave
McAllen, TX 78501-2920
Phone
(956) 994-0011
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 104095 TX Primary

Addresses

Primary practice location

232 Lindberg Ave
McAllen, TX 78501-2920

Mailing address

1806 Pike Avenue
Edinburg, TX 78542
Phone (956) 207-8007

Other practice location 1

410 10th Ave W
Palmetto, FL 34221-5032
Phone (941) 722-3582

Other identifiers 1

IdentifierTypeStateIssuer
004452200MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104095TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1376778548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 PIKE AVENUE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78542",
            "telephone_number": "956-207-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012920",
            "telephone_number": "956-994-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 10th Ave W",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342215032",
            "country_code": "US",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANNETTE",
        "middle_name": "YVONNE",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004452200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.