Theresa Pearl Lopez-Willis, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1698 Issued in NM

Practice address

1001 S Diamond Ave
Deming, NM 88030-4710

Phone

(505) 546-0427

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deming Public Schools

  • Local Education Agency (LEA)
  • Deming, NM
  • NPI 1013031988
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871625384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 ALHAMBRA CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880078952",
            "telephone_number": "505-644-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S DIAMOND AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304710",
            "telephone_number": "505-546-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-WILLIS",
        "first_name": "THERESA",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Bermudez Licon
• Edith Lima
• Lincare Inc.
• Thomas N Lindsay, MA LLLSP
• Lloyd's Water Pal Corporation
• Tiffany Lopez, CHW
• Lost Arts Therapeutics LLC
• Marylou H Lozano, COMMUNITY SUPPORT SP
• Ernestina Rodriguez Luera CSW
• Katherine Marie Luera

• Speech-Language Pathologist in Deming, NM
• Providers in Deming, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.