Amanda Sepulveda, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111374 Issued in TX

Practice address

12440 Rojas Dr
El Paso, TX 79928

Phone

(915) 937-0000

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1598149809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 SOLAR POINT LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382021",
            "telephone_number": "915-209-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 ROJAS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79928",
            "telephone_number": "915-937-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 E Schuster Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024659",
            "country_code": "US",
            "telephone_number": "915-544-8484",
            "fax_number": "915-496-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Saffa Sennessie
• Annie Lissette Sepulveda, LPC
• Daniel Max Sepulveda, M.D.
• Elizabeth Christine Sepulveda
• Esly Sepulveda
• Laura Leticia Sepulveda

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.