Evy Nicole Rendon, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115057 Issued in TX

Practice address

8115 N Los Ebanos Rd Ste 4
Alton, TX 78573-1670

Phone

(956) 271-1535

Fax

(956) 271-1533

NPI assigned

Aug 24, 2019

Last updated

Aug 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primeros Pasos Rehab, LLC

  • Speech-Language Pathologist
  • Alton, TX
  • NPI 1760039622
  NPD

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1497302376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 LARKSPUR AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013846",
            "telephone_number": "956-827-6596",
            "fax_number": "956-271-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 N LOS EBANOS RD STE 4",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731670",
            "telephone_number": "956-271-1535",
            "fax_number": "956-271-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8115 N Los Ebanos Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "TX",
            "postal_code": "785731669",
            "country_code": "US",
            "telephone_number": "956-271-1535",
            "fax_number": "956-271-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDON",
        "first_name": "EVY",
        "middle_name": "NICOLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjuanita Perez
• Performance Therapeutics Alton, PLLC
• Primeros Pasos Rehab, LLC
• R. Sergio Ramirez, M.D., P.a.
• R. Sergio Ramirez, M.D., P.a.
• Renew Path Counseling, PLLC
• Richards RX LLC (Richard's Pharmacy)
• Richards RX LLC (Richard's Pharmacy LTC)
• Amara G Rios, RN
• Riverside EMS

• Speech-Language Pathologist in Alton, TX
• Providers in Alton, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.