Individual provider Active NPI

Margo Otteson

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1619327962
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6510 Issued in NM
Practice address
4700 N Mesa St
Suite F4
El Paso, TX 79912-6171
Phone
(915) 704-1094
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 38757 TX
Speech-Language Pathologist 235Z00000X SLP6510 NM Primary

Addresses

Primary practice location

4700 N Mesa St
Suite F4
El Paso, TX 79912-6171

Mailing address

2930 Claude Dove Dr Apt 11
Las Cruces, NM 88011-4871
Phone (505) 716-0377

Other names 1

  • Margo Alayna Pearce Former name

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

LicenseStateTypeSpecialty
38757TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
SLP6510NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abp Rehab Services PC Speech-Language Pathologist Past Accepting new patients
Hector M Adame Ms CCC-SLP PC Speech-Language Pathologist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1619327962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CLAUDE DOVE DR APT 11",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114871",
            "telephone_number": "505-716-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N MESA ST",
            "address_2": "SUITE F4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126171",
            "telephone_number": "915-704-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTESON",
        "first_name": "MARGO",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "38757",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP6510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "PEARCE",
            "middle_name": "ALAYNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.