Active NPI
Kaila Areli Cisneros, SLP-ASSISTANT
- Speech-Language Assistant
- San Antonio, TX
National Provider Identifier
1912424342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 35990
- Practice address
- 3201 Cherry Ridge St
San Antonio, TX 78230-4823 - Phone
- (210) 692-0222
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | 35990 | TX | Primary |
Addresses
Primary practice location
3201 Cherry Ridge St
San Antonio, TX 78230-4823
Mailing address
3201 Cherry Ridge St
San Antonio, TX 78230-4823
Phone (210) 692-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35990 | Other | TX | DSHS LICENSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35990 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912424342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 CHERRY RIDGE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782304823",
"telephone_number": "210-692-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 CHERRY RIDGE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782304823",
"telephone_number": "210-692-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "KAILA",
"middle_name": "ARELI",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "35990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS LICENSING",
"identifier": "35990",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.