Individual provider Active NPI

Sabrina Verdoza, CF-SLP

  • Speech-Language Pathologist
  • Santa Teresa, NM
National Provider Identifier
1720502818
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7023 Issued in NM
Practice address
4950 McNutt Rd
Santa Teresa, NM 88008-9621
Phone
(575) 882-6101
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 SLP7023 NM Primary

Addresses

Primary practice location

4950 McNutt Rd
Santa Teresa, NM 88008-9621

Mailing address

4989 Kyler Rd
Las Cruces, NM 88012-7423
Phone (575) 703-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002813 NM Practitioner - Qualified Speech Language Pathologist 0749638336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP7023NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Family Services Inc Speech-Language Pathologist CurrentSince Oct 1, 2023 Accepting new patients
Aprendamos Intervention Team PA PastSince Mar 1, 2022 Accepting new patients

Locations

3100 Oak St
Las Cruces, NM 88005
Phone (575) 323-3354

390 Calle de Alegra
Las Cruces, NM 88005
Phone (575) 556-8150

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1720502818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 KYLER RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127423",
            "telephone_number": "575-703-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089621",
            "telephone_number": "575-882-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDOZA",
        "first_name": "SABRINA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP7023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.