Active NPI
Esnelia Vargas, MS SPED
- Developmental Therapist
- Berwyn, IL
National Provider Identifier
1831640432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2421 East Ave
Berwyn, IL 60402-2639 - Phone
- (708) 691-5025
- Fax
- (708) 788-9917
- NPI assigned
- Oct 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 217.000347 | IL | |
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
2421 East Ave
Berwyn, IL 60402-2639
Mailing address
2421 East Ave
Berwyn, IL 60402-2639
Phone (708) 691-5025
Other names 1
- Esnelia Ruiz-Vargas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 217.000347 | IL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1831640432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 EAST AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022639",
"telephone_number": "708-691-5025",
"fax_number": "708-788-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 EAST AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022639",
"telephone_number": "708-691-5025",
"fax_number": "708-788-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "ESNELIA",
"credential": "MS SPED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "IL",
"license": "217.000347",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ESNELIA",
"last_name": "RUIZ-VARGAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.