Individual provider Active NPI

Perla Elizabeth Tamez, B.S ASSISTANT SLP

  • Speech-Language Assistant
  • Mission, TX
National Provider Identifier
1770740474
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
34192 Issued in TX
Practice address
1110 S Inspiration Rd
Mission, TX 78572-6983
Phone
(956) 648-2543
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 34192 TX Primary

Addresses

Primary practice location

1110 S Inspiration Rd
Mission, TX 78572-6983

Mailing address

1110 S Inspiration Rd
Mission, TX 78572-6983
Phone (956) 648-2543

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
34192TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Rehab Group LLC Current Accepting new patients
Dynamic Children Therapy Services LLC Speech-Language Assistant Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1770740474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S INSPIRATION RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726983",
            "telephone_number": "956-648-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S INSPIRATION RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726983",
            "telephone_number": "956-648-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMEZ",
        "first_name": "PERLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "B.S ASSISTANT SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.