Individual provider Active NPI

Vanessa Rae Castillo Smith, C.F.-SLP

  • Speech-Language Pathologist
  • Bellevue, NE
National Provider Identifier
1659627198
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
308 Issued in NE
Practice address
12450 S 32ND St
Bellevue, NE 68123-1673
Phone
(402) 609-9338
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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 308 NE Primary

Addresses

Primary practice location

12450 S 32ND St
Bellevue, NE 68123-1673

Mailing address

12450 S 32ND St
Bellevue, NE 68123-1673
Phone (402) 609-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725000055 NM Practitioner - Qualified Speech Language Pathologist 6002323003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308NEMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Speech Academy, LLC Speech-Language Pathologist CurrentSince Jun 30, 2025 Accepting new patients

Locations

4801 McMahon Blvd NW
Ste 200
Albuquerque, NM 87114
Phone (505) 554-1734

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1659627198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 S 32ND ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231673",
            "telephone_number": "402-609-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 S 32ND ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231673",
            "telephone_number": "402-609-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO SMITH",
        "first_name": "VANESSA",
        "middle_name": "RAE",
        "credential": "C.F.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.