Organization Active NPI

Kasa Blanca Speech Services, PLLC

  • Speech-Language Pathologist
  • Missouri City, TX
National Provider Identifier
1821860743
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KASA BLANCA SPEECH SERVICES, PLLC
Practice address
3634 Glenn Lakes LN Ste 103
Missouri City, TX 77459-4062
Phone
(281) 947-2736
NPI assigned
Oct 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Krystina Perez, M.S, CCC-SLPNPI 1184107716
Title
Co-Owner, SLP
Phone
(361) 726-3059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3634 Glenn Lakes LN Ste 103
Missouri City, TX 77459-4062

Mailing address

3634 Glenn Lakes LN Ste 103
Missouri City, TX 77459-4062
Phone (281) 947-2736

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kasablancaspeech.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1821860743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 103",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594062",
            "telephone_number": "281-947-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 103",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594062",
            "telephone_number": "281-947-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASA BLANCA SPEECH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KRYSTINA",
        "authorized_official_title_or_position": "CO-OWNER, SLP",
        "authorized_official_telephone_number": "361-726-3059",
        "authorized_official_credential": "M.S, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kasablancaspeech.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3634 Glenn Lakes Ln Ste 103",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774594062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.