Yesenia Pagan
Individual provider Active NPI Speech-Language Pathologist · Chaparral, NM
NPI 1659896165 · NPPES record last updated Aug 4, 2017
Key facts
- NPI
- 1659896165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- C-6098 (NM)
- Practice address
- 300 E Lisa Dr
Chaparral, NM 88081-7927 - Phone
- (575) 824-4722
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6098 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Independent School District | Past | Accepting new patients | |
| Gadsden Independent School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | C-6098 | NM | Yes |
Addresses
Primary practice location
300 E Lisa Dr
Chaparral, NM 88081-7927
Mailing address
PO Drawer 70
Anthony, NM 88021
Phone (575) 882-6101
Other providers in Chaparral, NM
- Karista Nichilo
- Laura Nunez
- Jennifer Nkemamaka Nwaogu
- Soraya Veronica Ordonez Rodriguez
- Megan Ortega
- Tawni Petrungaro
- Karla M Pimentel
- Presbyterian Medical Services
- Aubrie Tina Ramirez
- Eliseo Ramirez
All providers in Chaparral, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.