Active NPI
Vanessa Dernice Sabir, CCC/SLP
- Speech-Language Pathologist
- Roswell, NM
National Provider Identifier
1891066387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6531
- Practice address
- 1515 Sunset Blvd
Roswell, NM 88201 - Phone
- (254) 979-8782
- NPI assigned
- Jan 16, 2012
- Last updated
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2556 | LA | |
| Speech-Language Pathologist | 235Z00000X | 6531 | NM | Primary |
Addresses
Primary practice location
1515 Sunset Blvd
Roswell, NM 88201
Mailing address
702 E Country Club Rd
Roswell, NM 88201-7608
Phone (254) 979-8782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891066387 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2556 | LA | MD | Professional Counselor |
| 6531 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
200 W 1st St
Ste 527
Roswell, NM 88203
Phone (575) 840-3879
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Roswell Therapy Specialist
- Occupational Therapist
- Roswell, NM
- NPI 1063929446
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1891066387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 E COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882017608",
"telephone_number": "254-979-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SUNSET BLVD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "254-979-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIR",
"first_name": "VANESSA",
"middle_name": "DERNICE",
"name_prefix": "Ms.",
"credential": "CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-16",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "2556",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "6531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891066387",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.