Active NPI
Lynda Marie Perez, BS ASST-SLP
- Speech-Language Assistant
- San Antonio, TX
National Provider Identifier
1417408642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 33284
- Practice address
- 98 Briggs Ave #990
San Antonio, TX 78224 - Phone
- (210) 226-9536
- NPI assigned
- Oct 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiology Assistant | 2355A2700X | 33284 | TX | |
| Speech-Language Assistant | 2355S0801X | 33284 | TX | Primary |
Addresses
Primary practice location
98 Briggs Ave #990
San Antonio, TX 78224
Mailing address
305 NE Loop 820; Business Tower 1, Suite 200;
Hurst, TX 76053
Phone (817) 292-8787
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33284 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1417408642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200;",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 BRIGGS AVE #990",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78224",
"telephone_number": "210-226-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LYNDA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "BS ASST-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2355A2700X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Audiology Assistant",
"state": "TX",
"license": "33284",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "33284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.