Active NPI
Mabel Camilo Nieves, SLP
- Speech-Language Pathologist
- Baytown, TX
National Provider Identifier
1811265457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109349
- Practice address
- 5313 Decker Dr
Baytown, TX 77520-1413 - Phone
- (281) 838-4477
- Fax
- (281) 838-3465
- NPI assigned
- Dec 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109349 | TX | Primary |
Addresses
Primary practice location
5313 Decker Dr
Baytown, TX 77520-1413
Mailing address
5313 Decker Dr
Baytown, TX 77520-1413
Phone (787) 216-5971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109349 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1811265457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5313 DECKER DR",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775201413",
"telephone_number": "787-216-5971",
"fax_number": "281-838-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5313 DECKER DR",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775201413",
"telephone_number": "281-838-4477",
"fax_number": "281-838-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILO NIEVES",
"first_name": "MABEL",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-10",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.