Organization Active NPI

Speech and Myofunctional Therapy of Lubbock, LLC

  • Speech-Language Pathologist
  • Lubbock, TX
National Provider Identifier
1881439362
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH AND MYOFUNCTIONAL THERAPY OF LUBBOCK, LLC
Practice address
8008 Slide Rd Ste 12B
Lubbock, TX 79424-2828
Phone
(806) 317-5268
NPI assigned
Jun 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Daniela QuinteroNPI 1093196735
Title
Ceo/SLP
Phone
(806) 317-5268

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 Primary

Addresses

Primary practice location

8008 Slide Rd Ste 12B
Lubbock, TX 79424-2828

Mailing address

3021 113TH St
Lubbock, TX 79423-2066
Phone (806) 317-5268

National Provider Directory

National Provider Directory

Locations

8008 Slide Rd
Ste 12B
Lubbock, TX 79424
Phone (806) 317-5268

Practitioners & affiliated clinicians

Practitioners 2

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": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1881439362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 113TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232066",
            "telephone_number": "806-317-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD STE 12B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242828",
            "telephone_number": "806-317-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND MYOFUNCTIONAL THERAPY OF LUBBOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "CEO/SLP",
        "authorized_official_telephone_number": "806-317-5268"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.