Liza Bergara

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14277209 Issued in TX

Practice address

1600 Airport Fwy Ste 372
Bedford, TX 76022-6873

Phone

(817) 595-2955

Fax

(817) 595-5764

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1801393012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 AIRPORT FWY STE 372",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226873",
            "telephone_number": "817-595-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 AIRPORT FWY STE 372",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226873",
            "telephone_number": "817-595-2955",
            "fax_number": "817-595-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGARA",
        "first_name": "LIZA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14277209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Lanell Bernard Igwe, CRNA
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• Melvyn Louis Bernstein, M.D.
• Cynthia Geralyn Berry, LCSW
• Krishnaveni Bethi, M.D.

• Speech-Language Pathologist in Bedford, TX
• Providers in Bedford, 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 Apr 12, 2018; 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.