Individual provider Active NPI

Liz A Feeney, MS-CCC-SLP

  • Speech-Language Pathologist
  • Weslaco, TX
National Provider Identifier
1477905511
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112389 Issued in TX
Practice address
2209 Mulberry Dr
Weslaco, TX 78596-5049
Phone
(956) 638-1420
Fax
(956) 541-2502
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 112389 TX Primary

Addresses

Primary practice location

2209 Mulberry Dr
Weslaco, TX 78596-5049

Mailing address

2209 Mulberry Dr
Weslaco, TX 78596-5049
Phone (956) 638-1420

Other practice location 1

871 Old Alice Rd
suite 600
Brownsville, TX 78520-8268
Phone (956) 541-2102

Other identifiers 1

IdentifierTypeStateIssuer
112389OtherTXSTATE LICENSE

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
112389TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Great Beginnings Speech Therapy Services PLLC Speech-Language Pathologist CurrentSince Aug 30, 2020 Accepting new patients
Mercy Rehab Services Inc Speech-Language Pathologist Past Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients

Organizations & group practices 3

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1477905511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 MULBERRY DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965049",
            "telephone_number": "956-638-1420",
            "fax_number": "956-541-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 MULBERRY DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965049",
            "telephone_number": "956-638-1420",
            "fax_number": "956-541-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Old Alice Rd",
            "address_2": "suite 600",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208268",
            "country_code": "US",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "LIZ",
        "middle_name": "A",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "112389",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

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

Verify at the official NPI Registry.