Active NPI
Alicia Espinoza, M.A. CCC-SLP
- Speech-Language Pathologist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SAH-2024-0373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 202459 | AR | MD | Speech-Language Pathologist |
| 19191 | FL | MD | Speech-Language Pathologist |
| SZ9789 | FL | MD | Speech-Language Pathologist |
| SAH-2024-0373 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Innovations of Central Florida LLC | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Melbourne, FL
- NPI 1982268173
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.