Active NPI
Amy Jean Villarreal, BA, SLP-ASSISTANT
- Speech-Language Assistant
- San Antonio, TX
National Provider Identifier
1699257147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 4211 Gardendale St Ste A201
San Antonio, TX 78229-3180 - Phone
- (210) 614-4434
- Fax
- (210) 614-4407
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
4211 Gardendale St Ste A201
San Antonio, TX 78229-3180
Mailing address
9826 Marbach Cyn
San Antonio, TX 78245-1695
Phone (210) 289-6129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578708483 | Medicaid | TX |
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1699257147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9826 MARBACH CYN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782451695",
"telephone_number": "210-289-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 GARDENDALE ST STE A201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293180",
"telephone_number": "210-614-4434",
"fax_number": "210-614-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "AMY",
"middle_name": "JEAN",
"credential": "BA, SLP-ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578708483",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.