Andrea Michelle De Los Santos

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115062 Issued in TX

Practice address

4530 Beltway Dr
Addison, TX 75001-3707

Phone

(214) 636-0871

NPI assigned

Mar 2, 2019

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidspeak, LLC

  • Speech-Language Pathologist
  • Addison, TX
  • NPI 1619814274
  NPD (past)

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1801354436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 PARSONS RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779044759",
            "telephone_number": "619-359-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 BELTWAY DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013707",
            "telephone_number": "214-636-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Davidson, LMSW
• Christy Davila, COTA
• Monique Davis
• Stacy Davis, PT, DPT
• Rogelio De la Rosa, NP-C
• De Vincenzo Dental Partners PLLC (Addison Family Dentistry)
• Lauren Deberry
• William G Defoore, LPC, PHD
• Andrea Lynne Deschenes, PT, DPT
• DFW Post Acute Partners, PLLC (Accura Health Dallas-Fort Worth)

• Speech-Language Pathologist in Addison, TX
• Providers in Addison, 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 Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.