Active NPI
Miranda Ivy Mendoza
- Speech-Language Pathologist
- Lubbock, TX
National Provider Identifier
1720912801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 125216
- Practice address
- 5913 71St St
Lubbock, TX 79424-1931 - Phone
- (806) 786-5953
- NPI assigned
- Jun 11, 2026
- 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 Pathologist | 235Z00000X | 125216 | TX | Primary |
Addresses
Primary practice location
5913 71St St
Lubbock, TX 79424-1931
Mailing address
5913 71St St
Lubbock, TX 79424-1931
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1720912801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5913 71ST ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5913 71ST ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241931",
"telephone_number": "806-786-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MIRANDA",
"middle_name": "IVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "125216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.