Marizelda Gomez Marroquin, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102523 Issued in TX

Practice address

138 W County Road 2160
Kingsville, TX 78363-8815

Phone

(361) 592-6465

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1730850231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W COUNTY ROAD 2160",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783638815",
            "telephone_number": "361-592-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W COUNTY ROAD 2160",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783638815",
            "telephone_number": "361-592-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E La Parra Ave",
            "address_purpose": "LOCATION",
            "city": "Sarita",
            "state": "TX",
            "postal_code": "78385",
            "country_code": "US",
            "telephone_number": "361-294-5379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "MARIZELDA",
        "middle_name": "GOMEZ",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Kingsville, TX
• Providers in Kingsville, 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 Sep 23, 2021; 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.