Maritza Nicole Faulkner, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104564 Issued in TX

Practice address

9701 Almeda Genoa Rd BLDG F
Houston, TX 77075-2411

Phone

(832) 331-2460

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

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.

• The Beta Foundation

  • Local Education Agency (LEA)
  • Houston, TX
  • NPI 1588181036
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1881330033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 ALMEDA GENOA RD BLDG F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752411",
            "telephone_number": "832-331-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 ALMEDA GENOA RD BLDG F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752411",
            "telephone_number": "832-331-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10929 Almeda Genoa Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770343617",
            "country_code": "US",
            "telephone_number": "346-385-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "MARITZA",
        "middle_name": "NICOLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386603001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taposhi Rabia Fattah
• Nikoo Fattahi
• Oluwatosin O Fatusin, MD, MPH
• Jason Faulds, M.D.
• Austin Thomas Faulk, DDS
• Janelle Fauni
• Faust LTC Pharmacy Inc
• Eric J Faust, MD
• John Benjamin Faust, LMT
• Fabrizia Faustinella, M.D.

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.