Active NPI
New Nuero Waves, Speech Language Pathology Services Inc.
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1831959816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- NEW NUERO WAVES, SPEECH LANGUAGE PATHOLOGY SERVICES INC.
- Practice address
- 424 15TH St Apt 1204
San Diego, CA 92101-7696 - Phone
- (909) 233-0920
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zenaida Smith, M.S., CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (909) 233-0920
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
424 15TH St Apt 1204
San Diego, CA 92101-7696
Mailing address
424 15TH St Apt 1204
San Diego, CA 92101-7696
Phone (909) 233-0920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1831959816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 15TH ST APT 1204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017696",
"telephone_number": "909-233-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 15TH ST APT 1204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017696",
"telephone_number": "909-233-0920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW NUERO WAVES, SPEECH LANGUAGE PATHOLOGY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ZENAIDA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "909-233-0920",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.