Individual provider Active NPI

Deborah Ann Bastidas, MS, CCC, SLP

  • Speech-Language Pathologist
  • Bellaire, TX
National Provider Identifier
1609874411
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13254 Issued in TX
Practice address
5909 West Loop S
#270
Bellaire, TX 77401-2402
Phone
(713) 668-8800
Fax
(713) 668-0098
NPI assigned
Jul 14, 2005
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 13254 TX Primary

Addresses

Primary practice location

5909 West Loop S
#270
Bellaire, TX 77401-2402

Mailing address

5909 West Loop S
#270
Bellaire, TX 77401-2402
Phone (713) 668-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306002709 TX Practitioner - Qualified Speech Language Pathologist 9032555610 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5465 Braesvalley Dr
Apt 531
Houston, TX 77096-3124
Phone (713) 668-8800

5465 Braesvalley Dr Apt
Suite 531
Houston, TX 77096-3124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Bastidas Ms & Associates Speech-Language Pathologist CurrentSince Jan 1, 1998 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, 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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1609874411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S",
            "address_2": "#270",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012402",
            "telephone_number": "713-668-8800",
            "fax_number": "713-668-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S",
            "address_2": "#270",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012402",
            "telephone_number": "713-668-8800",
            "fax_number": "713-668-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIDAS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "13254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.