Active NPI
Ximena Pelaez Lopez
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1588076814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 024603
- Practice address
- 10006 N Dale Mabry Hwy Ste 202
Tampa, FL 33618-4422 - Phone
- (929) 271-9336
- NPI assigned
- May 21, 2014
- Last updated
- Feb 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA18457 | FL | |
| Speech-Language Pathologist | 235Z00000X | 024603 | NY | Primary |
Addresses
Primary practice location
10006 N Dale Mabry Hwy Ste 202
Tampa, FL 33618-4422
Mailing address
9871 Red Bay Loop
Land O Lakes, FL 34637-6441
Phone (929) 271-9336
Other practice location 1
7000 Austin St Ste 200
Forest Hills, NY 11375-4739
Phone (929) 271-9336
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 |
|---|---|---|---|
| SA18457 | FL | MD | Speech-Language Pathologist |
| 024603 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1588076814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9871 RED BAY LOOP",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346376441",
"telephone_number": "929-271-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10006 N DALE MABRY HWY STE 202",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184422",
"telephone_number": "929-271-9336"
}
],
"practiceLocations": [
{
"address_1": "7000 Austin St Ste 200",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113754739",
"country_code": "US",
"telephone_number": "929-271-9336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELAEZ LOPEZ",
"first_name": "XIMENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18457",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "024603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.