Individual provider Active NPI

Jessica Lucia Valdez, SLP CFY

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1619492675
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114656 Issued in TX
Practice address
4718 Hallmark Dr
Houston, TX 77056
Phone
(713) 622-6633
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 27247 CA
Speech-Language Pathologist 235Z00000X 11747 CA
Speech-Language Pathologist 235Z00000X 114656 TX Primary

Addresses

Primary practice location

4718 Hallmark Dr
Houston, TX 77056

Mailing address

8903 Heron Nest Dr
Houston, TX 77064-4380
Phone (805) 291-6961

Other practice location 1

630 L St
Chula Vista, CA 91911-1066
Phone (619) 271-7100 ext. 1061

Other practice location 2

630 L St
Chula Vista, CA 91911-1066
Phone (619) 271-7100 ext. 1061

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11747CAMDSurgery Physician
114656TXMDOccupational Therapist
27247CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1619492675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 HERON NEST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770644380",
            "telephone_number": "805-291-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 HALLMARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77056",
            "telephone_number": "713-622-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 L St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111066",
            "country_code": "US",
            "telephone_number": "619-271-7100 x1061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 L St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111066",
            "country_code": "US",
            "telephone_number": "619-271-7100 x1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JESSICA",
        "middle_name": "LUCIA",
        "credential": "SLP CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27247",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11747",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.