Active NPI
Jessenia Sabire Villanueva, M.S., CCC-SLP, TSSLD
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1922519248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-2384
- Practice address
- 2820 W Charleston Blvd Ste 38D
Las Vegas, NV 89102-1934 - Phone
- (702) 877-0808
- Fax
- (702) 878-1322
- NPI assigned
- Oct 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 027069 | NY | |
| Speech-Language Pathologist | 235Z00000X | SP-2384 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd Ste 38D
Las Vegas, NV 89102-1934
Mailing address
2820 W Charleston Blvd Ste 38D
Las Vegas, NV 89102-1934
Phone (702) 877-0808
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 |
|---|---|---|---|
| 027069 | NY | MD | Clinical Psychologist |
| SP-2384 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Sounds of Ny | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- New York, NY
- NPI 1578870721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1922519248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 38D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-877-0808",
"fax_number": "702-878-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 38D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-877-0808",
"fax_number": "702-878-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "JESSENIA",
"middle_name": "SABIRE",
"credential": "M.S., CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027069",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-2384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.