Therese Ann Lopez, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3080 Issued in NM

Practice address

3061 Pagosa Meadows Dr NE
Rio Rancho, NM 87144-0534

Phone

(505) 896-0061

NPI assigned

May 8, 2007

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

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• West Side Speech Academy, LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1780199158
  Medicare reassignment
• Therese Lopez, Speech-Language Therapy Services

  dba Rio Rancho Public Schools

  • Speech-Language Pathologist
  • Rio Rancho, NM
  • NPI 1720116031
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649483173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 PAGOSA MEADOWS DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440534",
            "telephone_number": "505-896-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 PAGOSA MEADOWS DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440534",
            "telephone_number": "505-896-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "THERESE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Janet Lopez, DDS
• Leslie Lashea Lopez
• Maria Lopez
• Martine T Lopez, LPCC
• Raymond Christopher Lopez Jr., CCSS
• Travis Lopez
• Julie Lords, RN
• Holly Lorenzen, MSN, FNP
• Aemilia Lorenzini
• Kimberly Lovette Lorenzini, LMHC

• Speech-Language Pathologist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.