Individual provider Active NPI

Ruth Etiosa Auld, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1518505700
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119311 Issued in TX
Practice address
5100 John D Ryan Blvd
San Antonio, TX 78245-3527
Phone
(210) 677-8666
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 119311 TX Primary

Addresses

Primary practice location

5100 John D Ryan Blvd
San Antonio, TX 78245-3527

Mailing address

1838 Volvo Pkwy
Chesapeake, VA 23320-8123
Phone (404) 219-0614

Other practice location 1

249 S Newtown Rd
Norfolk, VA 23502-5718
Phone (757) 427-4700

Other practice location 2

2580 Pruden Blvd
Suffolk, VA 23434-4229
Phone (757) 934-2363

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
119311TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1518505700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 VOLVO PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208123",
            "telephone_number": "404-219-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 JOHN D RYAN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453527",
            "telephone_number": "210-677-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 S Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235025718",
            "country_code": "US",
            "telephone_number": "757-427-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 Pruden Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234344229",
            "country_code": "US",
            "telephone_number": "757-934-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AULD",
        "first_name": "RUTH",
        "middle_name": "ETIOSA",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.