Individual provider Active NPI

Anyssa Irene Avila, M.S.

  • Speech-Language Pathologist
  • McAllen, TX
National Provider Identifier
1427430909
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110909 Issued in TX
Practice address
1217 W Houston Ave
McAllen, TX 78501-5012
Phone
(956) 631-9171
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 110909 TX Primary

Addresses

Primary practice location

1217 W Houston Ave
McAllen, TX 78501-5012

Mailing address

1217 W. Houston Ave
McAllen, TX 78501-5012
Phone (956) 631-9171

Other identifiers 1

IdentifierTypeStateIssuer
359275002MedicaidTX

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
110909TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Rio Grande Valley Speech-Language Pathologist CurrentSince Aug 1, 2019 Accepting new patients

Locations

2422 E Tyler Ave
Ste C
Harlingen, TX 78550
Phone (956) 423-9171

1217 W Houston Ave
McAllen, TX 78501
Phone (956) 631-9171

Organizations & group practices 1

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1427430909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W. HOUSTON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015012",
            "telephone_number": "956-631-9171",
            "fax_number": "956-631-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W HOUSTON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015012",
            "telephone_number": "956-631-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ANYSSA",
        "middle_name": "IRENE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359275002",
            "state": "TX"
        }
    ],
    "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 Dec 14, 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.