Individual provider Active NPI

Maria Monserrate, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Mesquite, TX
National Provider Identifier
1730609934
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112526 Issued in TX
Practice address
120 W Main St Ste 210
Mesquite, TX 75149-4224
Phone
(972) 638-7286
Fax
(972) 499-1334
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 112526 TX Primary

Addresses

Primary practice location

120 W Main St Ste 210
Mesquite, TX 75149-4224

Mailing address

120 W Main St Ste 210
Mesquite, TX 75149-4224
Phone (972) 638-7286

Other identifiers 1

IdentifierTypeStateIssuer
112526OtherTXSPEECH LANGUAGE PATHOLOGIST LICENSE

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
Master of Science

State licenses

LicenseStateTypeSpecialty
112526TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730609934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494224",
            "telephone_number": "972-638-7286",
            "fax_number": "972-499-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494224",
            "telephone_number": "972-638-7286",
            "fax_number": "972-499-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSERRATE",
        "first_name": "MARIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "112526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.