Active NPI
Vivian Fuentes
- Speech-Language Assistant
- San Angelo, TX
National Provider Identifier
1841102712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 45582
- Practice address
- 810 W 19TH St
San Angelo, TX 76903-3768 - Phone
- (830) 513-9254
- NPI assigned
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 45582 | TX | Primary |
Addresses
Primary practice location
810 W 19TH St
San Angelo, TX 76903-3768
Mailing address
810 W 19TH St
San Angelo, TX 76903-3768
Phone (830) 513-9254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1841102712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 W 19TH ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769033768",
"telephone_number": "830-513-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W 19TH ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769033768",
"telephone_number": "830-513-9254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "VIVIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "45582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
- Harold P Freemyer, M.D.
- Johnny French, MD
- Fresenius Kidney Care Concho Valley, LLC (Fresenius Kidney Care San Angelo)
- Fresenius Kidney Care Concho Valley, LLC (Fresenius Kidney Care Red Arroyo)
- Clayton Edward Frost, OD
- William Fuller, LMSW, ACP
- Sierra Halbrooks Fulton
- Fyzical Therapy and Balance Center - San Angelo LLC
- Wrennah L Gabbert, R.N,. C.PNP, F.N.P-C
- Melissa Renee Gabrielli, RN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.