Individual provider Active NPI

Carolina Ponce

  • Speech-Language Pathologist
  • Anthony, NM
National Provider Identifier
1558835850
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SAH-2025-0367 Issued in NM
Practice address
1271 Anthony Dr
Anthony, NM 88021-9156
Phone
(575) 882-3401
NPI assigned
Jan 20, 2019
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 SAH-2025-0367 NM Primary

Addresses

Primary practice location

1271 Anthony Dr
Anthony, NM 88021-9156

Mailing address

301 Perkins Dr Ste B
Las Cruces, NM 88005-3248
Phone (575) 526-6682

Other names 1

  • Carolina Perez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000577 TX Practitioner - Qualified Speech Language Pathologist 1557802758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chrysalis Aphasia and Adult Speech RehabilitationGroup PAC ID 0042698441, 2 clinicians

Practice addresses (Care Compare)

3905 Jefferson Ave
El Paso, TX 79930-6613
Phone (915) 820-3944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122780TXMDOccupational Therapist
40357TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Aphasia and Adult Speech Rehabilitation CurrentSince Aug 10, 2024 Accepting new patients

Locations

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

3105 N Yarbrough Dr
Ste 105
El Paso, TX 79925
Phone (915) 820-3944

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1558835850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PERKINS DR STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053248",
            "telephone_number": "575-526-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 ANTHONY DR",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219156",
            "telephone_number": "575-882-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2025-0367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "PEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthony, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.