Individual provider Active NPI

Maria Aracelli Lopez-Lavalle, SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1881995769
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107582 Issued in TX
Practice address
11711 Memorial Dr Apt 651
Houston, TX 77024-7234
Phone
(713) 376-1872
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 017260 NY
Speech-Language Pathologist 235Z00000X 107582 TX Primary

Addresses

Primary practice location

11711 Memorial Dr Apt 651
Houston, TX 77024-7234

Mailing address

11711 Memorial Dr Apt 651
Houston, TX 77024-7234
Phone (713) 376-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
017260NYMDSpeech-Language Pathologist
107582TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1881995769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 MEMORIAL DR APT 651",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247234",
            "telephone_number": "713-376-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 MEMORIAL DR APT 651",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247234",
            "telephone_number": "713-376-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-LAVALLE",
        "first_name": "MARIA",
        "middle_name": "ARACELLI",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017260",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.