NPIMap

Organization Active NPI

Igrow Therapeutics, LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1871896902
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3270 Issued in NM
Legal business name
IGROW THERAPEUTICS, LLC
Practice address
1245 Isleta Blvd SW
Albuquerque, NM 87105-4065
Phone
(505) 328-8996
Fax
(505) 877-7172
NPI assigned
Dec 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Kristine N Vigil, MS, CCC-SLPNPI 1952463465
Title
Speech and Language Pathologist
Phone
(505) 328-8996

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3270 NM Primary

Addresses

Primary practice location

1245 Isleta Blvd SW
Albuquerque, NM 87105-4065

Mailing address

1245 Isleta Blvd SW
Albuquerque, NM 87105-4065
Phone (505) 328-8996

National Provider Directory

National Provider Directory

Practitioners & 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": "1292025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1871896902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054065",
            "telephone_number": "505-328-8996",
            "fax_number": "505-877-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054065",
            "telephone_number": "505-328-8996",
            "fax_number": "505-877-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGROW THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-11",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-328-8996",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.