Individual provider Active NPI

Sylvia Morayma Arellano, SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1396182895
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107031 Issued in TX
Practice address
6028 Surety Dr
El Paso, TX 79905-2018
Phone
(915) 771-8523
Fax
(915) 771-8046
NPI assigned
May 24, 2013
Last updated
May 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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 107031 TX Primary

Addresses

Primary practice location

6028 Surety Dr
El Paso, TX 79905-2018

Mailing address

6028 Surety Dr
El Paso, TX 79905-2018
Phone (915) 771-8523

Other identifiers 1

IdentifierTypeStateIssuer
107031OtherTXTEXAS STATE BOARD OF EXAMINARS FOR SPEECH LANGUAGE 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

State licenses

LicenseStateTypeSpecialty
107031TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1396182895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 SURETY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052018",
            "telephone_number": "915-771-8523",
            "fax_number": "915-771-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 SURETY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052018",
            "telephone_number": "915-771-8523",
            "fax_number": "915-771-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "SYLVIA",
        "middle_name": "MORAYMA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINARS FOR SPEECH LANGUAGE AND AUDIOLOGY",
            "identifier": "107031",
            "state": "TX"
        }
    ],
    "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 May 29, 2013; 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.