Karla Cecilia Vidaurri, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115997 Issued in TX

Practice address

2115 W Pike Blvd
Weslaco, TX 78596-0054

Phone

(956) 832-5150

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• Idea Florida, Inc.

  • Local Education Agency (LEA)
  • Jacksonville, FL
  • NPI 1538844014
  NPD
• Ips Enterprises Inc

  • Local Education Agency (LEA)
  • Cincinnati, OH
  • NPI 1265116487
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1740918952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 RIVIERA ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W PIKE BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785960054",
            "telephone_number": "956-832-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAURRI",
        "first_name": "KARLA",
        "middle_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail C Ventura, M.S. LPC-A
• Veronica Cardenas
• Richard Jared Verrett, MASSAGE THERAPIST
• VGM Valley Grande Manor Weslaco Ops Inc.
• VHS Harlingen Hospital Company, LLC
• Katrina Villagomez, M.A., LPC
• Norma Villanueva, LCSW
• Rosie Villanueva
• Brandi Nichole Villarreal, PHARMD
• Daniel A Villarreal Jr., PHARMD

• Speech-Language Pathologist in Weslaco, TX
• Providers in Weslaco, 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 Aug 19, 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.