Organization Active NPI

GVS

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1790508034
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GVS
Practice address
2901 Juan Tabo Blvd NE Ste 100a
Albuquerque, NM 87112-1886
Phone
(505) 804-5358
Fax
(505) 501-7483
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
K I
Title
Owner
Phone
(505) 804-5358

Specialties & licenses 1

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

Addresses

Primary practice location

2901 Juan Tabo Blvd NE Ste 100a
Albuquerque, NM 87112-1886

Mailing address

PO Box 11175
Albuquerque, NM 87192-0175

National Provider Directory

National Provider Directory

Locations

2901 Juan Tabo Blvd NE
Ste 100A
Albuquerque, NM 87112
Phone (505) 804-5358

Practitioners & affiliated clinicians

Practitioners 2

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": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1790508034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11175",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871920175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JUAN TABO BLVD NE STE 100A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121886",
            "telephone_number": "505-804-5358",
            "fax_number": "505-501-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "I",
        "authorized_official_first_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-804-5358"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2026; 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.