Active NPI
Alizma Roxann Reyes, SLP ASSISTANT
- Speech-Language Assistant
- Mercedes, TX
National Provider Identifier
1457985749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 37608
- Practice address
- 526 W 2ND St
Mercedes, TX 78570-2602 - Phone
- (956) 230-3301
- Fax
- (956) 391-2825
- NPI assigned
- Feb 26, 2020
- 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 Assistant | 2355S0801X | 37608 | TX | Primary |
Addresses
Primary practice location
526 W 2ND St
Mercedes, TX 78570-2602
Mailing address
526 W 2ND St
Mercedes, TX 78570-2602
Phone (956) 230-3301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37608 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradwell Diversified Inc. | Current | Accepting new patients |
Locations
526 W 2nd St
Mercedes, TX 78570
Phone (956) 230-3301
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.
-
dba K.A.T.S. Kids Advanced Therapy Services
- Home Health Agency
- Mercedes, TX
- NPI 1770721425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1457985749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 W 2ND ST",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785702602",
"telephone_number": "956-230-3301",
"fax_number": "956-391-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 W 2ND ST",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785702602",
"telephone_number": "956-230-3301",
"fax_number": "956-391-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ALIZMA",
"middle_name": "ROXANN",
"name_prefix": "Miss",
"credential": "SLP ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "37608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercedes, TX
- Pstik PLLC (Mercedes Family Dentistry)
- QTP II Inc (Quality Therapy Providers)
- QTP II, Inc. (Quality Therapy at Home)
- QTP Inc (Quality Therapy Providers)
- Ramiro Roberto Ramirez, PH.D.
- Christine Elizabeth Reyes, M.S., CCC-SLP
- Norma Linda Reyes, LMT
- Jose Cruz Reyna Jr., MS
- RGV Biomed Xpress DME, LLC
- RGV Music Therapy and Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.