Individual provider Active NPI

Alexiss Danik Valverde

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1508345570
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF7925 Issued in NM
Practice address
8200 Guadalupe TRL NW
Albuquerque, NM 87114-1121
Phone
(505) 898-3666
NPI assigned
Aug 10, 2018
Reactivated
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X CF7925 NM Primary

Addresses

Primary practice location

8200 Guadalupe TRL NW
Albuquerque, NM 87114-1121

Mailing address

123 North Upper Wacker Drive
Suite 1150
Chicago, IL 60606

Other practice location 1

24 Public School Rd
Tijeras, NM 87059-8600
Phone (505) 281-3316

Other names 1

  • Alexis Danik Valverde Former name

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
CF7925NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1508345570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NORTH UPPER WACKER DRIVE",
            "address_2": "SUITE 1150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GUADALUPE TRL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141121",
            "telephone_number": "505-898-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Public School Rd",
            "address_purpose": "LOCATION",
            "city": "Tijeras",
            "state": "NM",
            "postal_code": "870598600",
            "country_code": "US",
            "telephone_number": "505-281-3316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALVERDE",
        "first_name": "ALEXISS",
        "middle_name": "DANIK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "deactivation_date": "2018-08-15",
        "reactivation_date": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF7925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "VALVERDE",
            "middle_name": "DANIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.