Jeanette Guadalupe De Leon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110292 Issued in TX

Practice address

871 Old Alice Rd Ste 600
Brownsville, TX 78520-8274

Phone

(956) 541-2102

Fax

(956) 541-2502

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857
  Medicare reassignment NPD
• Mercy Rehab Services Inc

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1467259309

  Speech-Language Pathologist

  NPD (past)
• Mercy Rehab Services Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
  • NPI 1508821406
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1730645987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 NANSA DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785266621",
            "telephone_number": "956-346-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 OLD ALICE RD STE 600",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208274",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JEANETTE",
        "middle_name": "GUADALUPE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto H De la Vega, MD
• Alicia De Leon, OTA
• Anabell Benavides De Leon, FNP
• Audrey Nicole De Leon
• Christopher De Leon
• Mariangela De Leon
• Mary Olivia De Leon, F.N.P.
• Rosio Adriana De Leon, OPTICIAN
• Rene De Los Santos Jr., DDS
• Agustin De Lucio, SLP

• Speech-Language Pathologist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.