Individual provider Active NPI

Maria Esmeralda Cortez, MS CCC-SLP, BSRT-RRT

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1609395318
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114103 Issued in TX
Practice address
9616 N Lamar Blvd Ste 105
Austin, TX 78753-4163
Phone
(512) 527-9608
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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 114103 TX Primary

Addresses

Primary practice location

9616 N Lamar Blvd Ste 105
Austin, TX 78753-4163

Mailing address

305 NE Loop 820
Business Tower 1 Suite 200
Hurst, TX 76053
Phone (817) 292-8787

Other practice location 1

3721 Executive Center Dr Ste 201
Austin, TX 78731-1639
Phone (512) 372-3777

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
114103TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Pediatric Therapy, LP. 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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1609395318",
    "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": "817-292-8787",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 N LAMAR BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534163",
            "telephone_number": "512-527-9608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 Executive Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787311639",
            "country_code": "US",
            "telephone_number": "512-372-3777",
            "fax_number": "512-372-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "MARIA",
        "middle_name": "ESMERALDA",
        "credential": "MS CCC-SLP, BSRT-RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.