Active NPI
Maria Irene Villarreal, M.S., SLP-CCC
- Speech-Language Pathologist
- Edinburg, TX
National Provider Identifier
1376797431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104645
- Practice address
- 4000 Northern Lights Ave
Edinburg, TX 78541-1984 - Phone
- (956) 821-5598
- NPI assigned
- Nov 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | 104645 | TX | Primary |
Addresses
Primary practice location
4000 Northern Lights Ave
Edinburg, TX 78541-1984
Mailing address
4000 Northern Lights Ave
Edinburg, TX 78541-1984
Phone (956) 821-5598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104645 | Other | TX | STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104645 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1376797431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 NORTHERN LIGHTS AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785411984",
"telephone_number": "956-821-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 NORTHERN LIGHTS AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785411984",
"telephone_number": "956-821-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "MARIA",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "M.S., SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-15",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "104645",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.