Sandra a Mader PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10731 Issued in TX

Legal business name

SANDRA A MADER PC

Practice address

1001 Louisiana Ave
Suite 402
Corpus Christi, TX 78404-2833

Phone

(361) 853-0488

Fax

(361) 853-0489

NPI assigned

Dec 7, 2007

Last updated

Sep 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Ann Mader, M.A. CCC/SLP

Title

President

Phone

(361) 853-0488

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1821271230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE",
            "address_2": "SUITE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042833",
            "telephone_number": "361-853-0488",
            "fax_number": "361-853-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE",
            "address_2": "SUITE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042833",
            "telephone_number": "361-853-0488",
            "fax_number": "361-853-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA A MADER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "MADER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-853-0488",
        "authorized_official_credential": "M.A. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1578538781",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003566901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lara Dawn Sandoval
• Lisa Angel Sandoval
• Melanie Stephanie Sandoval, CLD, CBE, CDT
• Natalie Sandoval, PHARM.D.
• Pansie Wilson Sandoval, BUS, MED
• Annette Julie Sannes
• Catherine M Santiago, MS LCDC
• Walter J Santiago, M.D.
• Priscilla Santillan
• Gabrielle Santo, FNP-C

• Speech-Language Pathologist in Corpus Christi, TX
• Providers in Corpus Christi, 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 Sep 18, 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.