Individual provider Active NPI

Victoria Nettie Sassenfeld, M.S., CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1649935719
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15207 Issued in TX
Practice address
6201 High Ridge Dr
El Paso, TX 79912-7478
Phone
(915) 230-5087
Fax
(915) 584-1972
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 15207 TX Primary

Addresses

Primary practice location

6201 High Ridge Dr
El Paso, TX 79912-7478

Mailing address

6201 High Ridge Dr
El Paso, TX 79912-7478
Phone (915) 230-5087

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15207TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1649935719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 HIGH RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127478",
            "telephone_number": "915-230-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 HIGH RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127478",
            "telephone_number": "915-230-5087",
            "fax_number": "915-584-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSENFELD",
        "first_name": "VICTORIA",
        "middle_name": "NETTIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "15207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 3, 2021; 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.