Individual provider Active NPI

Tina Gonzales Tschoepe, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1821250465
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17986 Issued in TX
Practice address
15316 Huebner Rd
202
San Antonio, TX 78248-0987
Phone
(210) 614-4567
Fax
(210) 614-4999
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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 17986 TX Primary

Addresses

Primary practice location

15316 Huebner Rd
202
San Antonio, TX 78248-0987

Mailing address

15316 Huebner Rd
202
San Antonio, TX 78248-0987
Phone (210) 614-4567

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 Science

State licenses

LicenseStateTypeSpecialty
17986TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1821250465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15316 HUEBNER RD",
            "address_2": "202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480987",
            "telephone_number": "210-614-4567",
            "fax_number": "210-614-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15316 HUEBNER RD",
            "address_2": "202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480987",
            "telephone_number": "210-614-4567",
            "fax_number": "210-614-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHOEPE",
        "first_name": "TINA",
        "middle_name": "GONZALES",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.