Active NPI
Caroline Vasquez
- Speech-Language Pathologist
- Laredo, TX
National Provider Identifier
1578711255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104456
- Practice address
- 2400 San Bernardo Ave Dept A202
Laredo, TX 78040-2445 - Phone
- (956) 273-1500
- Fax
- (956) 273-1035
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 104456 | TX | Primary |
Addresses
Primary practice location
2400 San Bernardo Ave Dept A202
Laredo, TX 78040-2445
Mailing address
305 NE Loop 820
Business Tower 1 Suite 200
Hurst, TX 76053
Phone (172) 928-7878
Other practice location 1
305 NE Loop 820
Business Tower 1 Suite 200
Hurst, TX 76053
Phone (817) 292-8787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104456 | Other | TX | STATE LICENSE |
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 |
|---|---|---|---|
| 104456 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Rehab Services Inc. | Past | Accepting new patients |
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Brownsville, TX
- NPI 1508821406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1578711255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE LOOP 820",
"address_2": "BUSINESS TOWER 1 SUITE 200",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "172-928-7878",
"fax_number": "817-789-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SAN BERNARDO AVE DEPT A202",
"city": "LAREDO",
"state": "TX",
"postal_code": "780402445",
"telephone_number": "956-273-1500",
"fax_number": "956-273-1035"
}
],
"practiceLocations": [
{
"address_1": "305 NE Loop 820",
"address_2": "Business Tower 1 Suite 200",
"address_purpose": "LOCATION",
"city": "Hurst",
"state": "TX",
"postal_code": "76053",
"country_code": "US",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2023-11-22",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "104456",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.