Active NPI
Maria Guadalupe Alvarez-Brown
- Speech-Language Pathologist
- Bastrop, TX
National Provider Identifier
1760757363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101098
- Practice address
- 906 Farm St
Bastrop, TX 78602-3310 - Phone
- (512) 549-0897
- NPI assigned
- Mar 14, 2012
- Last updated
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 101098 | TX | Primary |
Addresses
Primary practice location
906 Farm St
Bastrop, TX 78602-3310
Mailing address
404 Watercourse Way
Bastrop, TX 78602-2215
Phone (512) 549-0897
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207164901 | Medicaid | TX | |
| 149984001 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101098 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1760757363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 WATERCOURSE WAY",
"city": "BASTROP",
"state": "TX",
"postal_code": "786022215",
"telephone_number": "512-549-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 FARM ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023310",
"telephone_number": "512-549-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ-BROWN",
"first_name": "MARIA",
"middle_name": "GUADALUPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207164901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149984001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.