Individual provider Active NPI

Stephanie Annette Garcia, SLP

  • Speech-Language Pathologist
  • Zapata, TX
National Provider Identifier
1649547365
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104380 Issued in TX
Practice address
102 1St Ave Ste C
Zapata, TX 78076-4282
Phone
(956) 750-3161
Fax
(956) 750-3238
NPI assigned
Nov 23, 2011
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 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 104380 TX Primary

Addresses

Primary practice location

102 1St Ave Ste C
Zapata, TX 78076-4282

Mailing address

102 1St Ave Ste C
Zapata, TX 78076-4282
Phone (956) 750-3238

Other identifiers 1

IdentifierTypeStateIssuer
286233603MedicaidTX

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
104380TXMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Rock Therapy, PLLC Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients

Locations

102 1st Ave
Ste B
Zapata, TX 78076
Phone (956) 750-3082

102 1st Ave
Ste C
Zapata, TX 78076
Phone (956) 750-3161

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1649547365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 1ST AVE STE C",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780764282",
            "telephone_number": "956-750-3238",
            "fax_number": "956-750-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 1ST AVE STE C",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780764282",
            "telephone_number": "956-750-3161",
            "fax_number": "956-750-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "STEPHANIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286233603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zapata, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.