Individual provider Active NPI

Alicia Espinoza, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1740895556
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SAH-2024-0373 Issued in NM
Practice address
6400 Uptown Blvd NE
Albuquerque, NM 87110-4202
Phone
(505) 880-3700
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 202459 AR
Speech-Language Pathologist 235Z00000X SAH-2024-0373 NM Primary
Speech-Language Pathologist 235Z00000X SZ9789 FL
Speech-Language Pathologist 235Z00000X 19191 FL

Addresses

Primary practice location

6400 Uptown Blvd NE
Albuquerque, NM 87110-4202

Mailing address

1977 Dawn Dr
Melbourne, FL 32935-3323
Phone (321) 506-0059

Other practice location 1

6550 N Wickham Rd Ste 8
Melbourne, FL 32940-2038
Phone (407) 694-3603

Other practice location 2

2080 W Eau Gallie Blvd Ste A
Melbourne, FL 32935-3185
Phone (407) 694-3603

Other practice location 3

3205 Jenny Lind Rd
Fort Smith, AR 72901-7101
Phone (479) 709-6092

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 Arts

State licenses

LicenseStateTypeSpecialty
202459ARMDSpeech-Language Pathologist
19191FLMDSpeech-Language Pathologist
SZ9789FLMDSpeech-Language Pathologist
SAH-2024-0373NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Innovations of Central Florida LLC Speech-Language Pathologist PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1740895556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 DAWN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353323",
            "telephone_number": "321-506-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 UPTOWN BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104202",
            "telephone_number": "505-880-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 N Wickham Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402038",
            "country_code": "US",
            "telephone_number": "407-694-3603",
            "fax_number": "321-296-7130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 W Eau Gallie Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353185",
            "country_code": "US",
            "telephone_number": "407-694-3603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 Jenny Lind Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729017101",
            "country_code": "US",
            "telephone_number": "479-709-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202459",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2024-0373",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9789",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "19191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.