Individual provider Active NPI

Ivonne Del Carmen Hernandez-Aguirre, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Tucson, AZ
National Provider Identifier
1679644033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP2011 Issued in AZ
Practice address
1601 N Tucson Blvd Ste 5
Tucson, AZ 85716-3404
Phone
(520) 325-3540
Fax
(520) 325-3589
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP2011 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd Ste 5
Tucson, AZ 85716-3404

Mailing address

2830 N Ramie PL
Tucson, AZ 85745-8724
Phone (520) 248-0318

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
SLP2011AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monchou Enterprises, Inc. Speech-Language Pathologist Past Accepting new patients

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679644033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N RAMIE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857458724",
            "telephone_number": "520-248-0318",
            "fax_number": "520-867-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163404",
            "telephone_number": "520-325-3540",
            "fax_number": "520-325-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-AGUIRRE",
        "first_name": "IVONNE",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.