Individual provider Active NPI

Tatiana Lopez Vasquez

  • Other Technician
  • Stafford, TX
National Provider Identifier
1467031187
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
ATP92217 Issued in TX
Practice address
13004 Murphy Rd Ste 200
Stafford, TX 77477-3961
Phone
(281) 819-6831
Fax
(512) 519-7472
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X ATP92217 TX Primary

Addresses

Primary practice location

13004 Murphy Rd Ste 200
Stafford, TX 77477-3961

Mailing address

13004 Murphy Rd Ste 200
Stafford, TX 77477-3961
Phone (281) 819-6831

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
ATP92217TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Complex Rehab Technologies LLC PastSince Apr 11, 2021 Accepting new patients
Complex Rehab Technologies LLC PastSince Apr 11, 2021 Accepting new patients

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1467031187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13004 MURPHY RD STE 200",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773961",
            "telephone_number": "281-819-6831",
            "fax_number": "512-519-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13004 MURPHY RD STE 200",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773961",
            "telephone_number": "281-819-6831",
            "fax_number": "512-519-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VASQUEZ",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "ATP92217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.