Active NPI
Cynthia Lopez, SLPA
- Speech-Language Assistant
- Laredo, TX
National Provider Identifier
1710277785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 36014
- Practice address
- 3210 Jaime Zapata Memorial Hwy Ste A4
Laredo, TX 78043-5010 - Phone
- (956) 723-6700
- Fax
- (956) 724-5599
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 36014 | TX | Primary |
Addresses
Primary practice location
3210 Jaime Zapata Memorial Hwy Ste A4
Laredo, TX 78043-5010
Mailing address
2805 Fountain Plaza Blvd
Edinburg, TX 78539-8031
Phone (956) 723-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171436201 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36014 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rysty Enterprises, Inc | 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 and National Provider Directory roles.
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- NPI 1427438100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1710277785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 FOUNTAIN PLAZA BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398031",
"telephone_number": "956-723-6700",
"fax_number": "956-724-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 JAIME ZAPATA MEMORIAL HWY STE A4",
"city": "LAREDO",
"state": "TX",
"postal_code": "780435010",
"telephone_number": "956-723-6700",
"fax_number": "956-724-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CYNTHIA",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "36014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171436201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.