Individual provider Active NPI

Vivian Sosa Hernandez-Arellano, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Plainview, TX
National Provider Identifier
1699804328
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114228 Issued in NM
Practice address
2700 Yonkers St.
Plainview, TX 79072
Phone
(806) 293-2636
Fax
(806) 213-1102
NPI assigned
Mar 6, 2007
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3207 NM
Speech-Language Pathologist 235Z00000X 114228 NM Primary

Addresses

Primary practice location

2700 Yonkers St.
Plainview, TX 79072

Mailing address

2700 Yonkers St.
Plainview, TX 79072
Phone (806) 293-2636

Other names 1

  • Vivian S. Matlack Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
114228NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dexter Consolidated Schools PastSince Dec 21, 2021 Accepting new patients
Central Plains Center Eci PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1699804328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 YONKERS ST.",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-293-2636",
            "fax_number": "806-213-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YONKERS ST.",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-293-2636",
            "fax_number": "806-213-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-ARELLANO",
        "first_name": "VIVIAN",
        "middle_name": "SOSA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3207",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "114228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "MATLACK",
            "middle_name": "S.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.