Active NPI
Olivia Jacqueline Betancourt
- Speech-Language Assistant
- Weslaco, TX
National Provider Identifier
1518518273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 35621
- Practice address
- 1005 E 10TH St Ste B
Weslaco, TX 78596-5133 - Phone
- (956) 969-9886
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 35621 | TX | Primary |
Addresses
Primary practice location
1005 E 10TH St Ste B
Weslaco, TX 78596-5133
Mailing address
15201 Spangler LN
Harlingen, TX 78552-6704
Phone (956) 226-9936
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35621 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1518518273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15201 SPANGLER LN",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785526704",
"telephone_number": "956-226-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E 10TH ST STE B",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965133",
"telephone_number": "956-969-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT",
"first_name": "OLIVIA",
"middle_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "35621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
- Eddy Enmanuel Berges Chez, M.D.
- Shane Kelvin Berthelot, RPH
- Besos Y Caricias Adult Day Care, LLC
- Besos Y Caricias Adult Day Care, LLC
- Isela Yadira Betancourt
- Payal Jitendra Bhakta Bhakta, MD
- Sahir Bhatti, M.D.
- Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Mid-Valley)
- Bio-Medical Applications of Texas, Inc. (Weslaco Dialysis Facility)
- Biocom Clinical Laboratories
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.