Active NPI
Rebecca Arevalo, MS SLP CCC
- Speech-Language Pathologist
- Raymondville, TX
National Provider Identifier
1902122641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104162
- Practice address
- 746 Charles Ave
Raymondville, TX 78580-3136 - Phone
- (956) 361-5800
- NPI assigned
- Apr 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104162 | TX | Primary |
Addresses
Primary practice location
746 Charles Ave
Raymondville, TX 78580-3136
Mailing address
746 Charles Ave
Raymondville, TX 78580-3136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104162 | Other | TX | TEXAS SPEECH BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104162 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1902122641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 CHARLES AVE",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "785803136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 CHARLES AVE",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "785803136",
"telephone_number": "956-361-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREVALO",
"first_name": "REBECCA",
"credential": "MS SLP CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS SPEECH BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY",
"identifier": "104162",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raymondville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.