Individual provider Active NPI

Vanessa Mass, MS SLP

  • Speech-Language Pathologist
  • Bayamon, PR
National Provider Identifier
1447572946
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112338 Issued in TX
Practice address
CC16 Calle 18
Bayamon, PR 00957-4359
Phone
(787) 459-6598
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 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 830 PR
Speech-Language Pathologist 235Z00000X 112338 TX Primary

Addresses

Primary practice location

CC16 Calle 18
Bayamon, PR 00957-4359

Mailing address

12514 Pierson Hollow Dr
Humble, TX 77346-4265
Phone (787) 459-6598

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
830PRMDSpeech-Language Pathologist
112338TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1447572946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12514 PIERSON HOLLOW DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464265",
            "telephone_number": "787-459-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC16 CALLE 18",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574359",
            "telephone_number": "787-459-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASS",
        "first_name": "VANESSA",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "830",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.