Organization Active NPI

West Side Speech Academy, LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1780199158
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1318 Issued in NM
Legal business name
WEST SIDE SPEECH ACADEMY, LLC
Practice address
4801 McMahon Blvd NW Ste 200
Albuquerque, NM 87114-5090
Phone
(505) 554-1743
Fax
(505) 433-3899
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mrs. Alli Burrows
Title
Director of Operations
Phone
(505) 554-1734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1318 NM Primary

Addresses

Primary practice location

4801 McMahon Blvd NW Ste 200
Albuquerque, NM 87114-5090

Mailing address

5208 River Ridge Ave NW
Albuquerque, NM 87114-3660
Phone (505) 259-8402

Other identifiers 1

IdentifierTypeStateIssuer
81302266MedicaidNM

Other names 1

  • Robin H Billmaier Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527002918 NM Part B Supplier - Clinic/Group Practice 1456772557 Receives reassigned benefits from 5 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4801 McMahon Blvd NW
Ste 200
Albuquerque, NM 87114
Phone (505) 554-1734

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1780199158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 RIVER RIDGE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143660",
            "telephone_number": "505-259-8402",
            "fax_number": "505-433-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCMAHON BLVD NW STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145090",
            "telephone_number": "505-554-1743",
            "fax_number": "505-433-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE SPEECH ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-09-02",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "ALLI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-554-1734",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81302266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robin H Billmaier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.