Individual provider Active NPI

Sandra Guajardo, M.A., CCC/SLP

  • Speech-Language Pathologist
  • Harlingen, TX
National Provider Identifier
1811195910
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15068 Issued in TX
Practice address
4501 Hale Drive
Suite 3
Harlingen, TX 78550-9229
Phone
(956) 412-7600
Fax
(956) 412-7603
NPI assigned
Jul 10, 2007
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15068 TX Primary

Addresses

Primary practice location

4501 Hale Drive
Suite 3
Harlingen, TX 78550-9229

Mailing address

4501 Hale Drive
Suite 3
Harlingen, TX 78550-9229
Phone (956) 412-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15068TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Playhouse Rehab LP Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1811195910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 HALE DRIVE",
            "address_2": "SUITE 3",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509229",
            "telephone_number": "956-412-7600",
            "fax_number": "956-412-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 HALE DRIVE",
            "address_2": "SUITE 3",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509229",
            "telephone_number": "956-412-7600",
            "fax_number": "956-412-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "15068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.