Individual provider Active NPI

Leslie Ann Raya

  • Speech-Language Pathologist
  • Weslaco, TX
National Provider Identifier
1417533431
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117481 Issued in TX
Practice address
2115 W Pike Blvd
Weslaco, TX 78596-0054
Phone
(956) 377-8000
NPI assigned
Mar 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1117481 TX
Speech-Language Pathologist 235Z00000X 117481 TX Primary

Addresses

Primary practice location

2115 W Pike Blvd
Weslaco, TX 78596-0054

Mailing address

1514 N Zaragoza Rd
El Paso, TX 79936-8031

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
1117481TXMDRegistered Nurse
117481TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Idea Florida, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Early Bird Pediatric Therapy Clinic, Inc PastSince Mar 1, 2021 Accepting new patients

Locations

2115 W Pike Blvd
Weslaco, TX 78596
Phone (956) 377-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1417533431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W PIKE BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785960054",
            "telephone_number": "956-377-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYA",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "1117481",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.