Mirza Jeannette Lugo-Neris, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

106269 Issued in TX

Practice address

2504A Whitis Ave
Suite 2.202 (Mail Code A1100)
Austin, TX 78712-0114

Phone

(512) 232-1503

Fax

(512) 471-2957

NPI assigned

May 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1790197903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17306 ORWELL LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647415",
            "telephone_number": "787-510-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504A WHITIS AVE",
            "address_2": "SUITE 2.202 (MAIL CODE A1100)",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787120114",
            "telephone_number": "512-232-1503",
            "fax_number": "512-471-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-NERIS",
        "first_name": "MIRZA",
        "middle_name": "JEANNETTE",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina W Luepke, CRNA
• Victoria Celeste Luera, RDN, LD
• Jane Luetchens
• John Drake Lufkin, M.D.
• Cynthia Marlin Lufschanowski, R.PH.
• Celia Marie Lugo, MA, LPC
• Neli Lizbeth Lugo, RDH
• Thomas James Lugo, FNP
• Veronica B Lugo, LVN
• Harashada Luhar, M.D.

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, 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 Oct 23, 2017; 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.