Active NPI
Priscilla Ann Urdiales, M.A., CCC-SLP
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1457764326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103618
- Practice address
- 98 Briggs St
Suite 990
San Antonio, TX 78224-1286 - Phone
- (210) 226-9536
- Fax
- (210) 924-3376
- NPI assigned
- Jun 8, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103618 | TX | Primary |
Addresses
Primary practice location
98 Briggs St
Suite 990
San Antonio, TX 78224-1286
Mailing address
98 Briggs St
Suite 990
San Antonio, TX 78224-1286
Phone (210) 226-9536
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103618 | TX | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1457764326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 BRIGGS ST",
"address_2": "SUITE 990",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241286",
"telephone_number": "210-226-9536",
"fax_number": "210-924-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 BRIGGS ST",
"address_2": "SUITE 990",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241286",
"telephone_number": "210-226-9536",
"fax_number": "210-924-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URDIALES",
"first_name": "PRISCILLA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-08",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103618",
"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 Jun 20, 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.