Ellen Espinosa, SLP
Individual provider Active NPI Speech-Language Pathologist · Estancia, NM
NPI 1932307147 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1932307147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 454 (NM)
- Practice address
- 300 N 9TH St
Estancia, NM 87016 - Phone
- (505) 384-2000
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 454 | NM | Yes |
Addresses
Primary practice location
300 N 9TH St
Estancia, NM 87016
Mailing address
12708 Piru Blvd SE
Albuquerque, NM 87123-3825
Phone (505) 294-3314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000Z2752 | Medicaid | NM |
Other providers in Estancia, NM
- Melonie Suzzane Chavez
- Corrections Corp. of America
- Alyson Deakyne
- Enchantment Legacy Inc.
- Enchantment Legacy, Inc.
- Oliver Matthew Gallegos
- Deminica Denee Garcia
- Emily Gottschalk
- Pamela Jo Hartman
- Jennifer Keeran
All providers in Estancia, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.