Individual provider Active NPI

Marianna M Pruneda, MA, CCC-SLP

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1548406341
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100808 Issued in TX
Practice address
3101 Michaelwood Dr
Brownsville, TX 78526-2894
Phone
(956) 226-9376
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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 100808 TX Primary

Addresses

Primary practice location

3101 Michaelwood Dr
Brownsville, TX 78526-2894

Mailing address

3101 Michaelwood Dr
Brownsville, TX 78526-2894
Phone (956) 226-9376

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Action Inc CurrentSince Apr 10, 2024 Accepting new patients

Locations

435 Paredes Line Rd
#A
Brownsville, TX 78521
Phone (956) 544-4500

Organizations & group practices 1

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1548406341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MICHAELWOOD DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262894",
            "telephone_number": "956-226-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MICHAELWOOD DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262894",
            "telephone_number": "956-226-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNEDA",
        "first_name": "MARIANNA",
        "middle_name": "M",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.