Individual provider Active NPI

Kelly Natasha Quinonez, SLP

  • Speech-Language Assistant
  • League City, TX
National Provider Identifier
1649788027
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
40299 Issued in TX
Practice address
114 Oak Creek Dr
League City, TX 77573-1760
Phone
(832) 561-0579
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 40299 TX Primary

Addresses

Primary practice location

114 Oak Creek Dr
League City, TX 77573-1760

Mailing address

114 Oak Creek Dr
League City, TX 77573-1760
Phone (832) 561-0579

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

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1649788027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 OAK CREEK DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731760",
            "telephone_number": "832-561-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 OAK CREEK DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731760",
            "telephone_number": "832-561-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "KELLY",
        "middle_name": "NATASHA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.