Shatequa Keirra Ursery, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

42933 Issued in TX

Practice address

2114 N Zaragoza Rd
El Paso, TX 79938-8122

Phone

(915) 271-8030

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shatequa Keirra Gamble Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1932811650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 NEPAL SKY STREET",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79928",
            "telephone_number": "803-212-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388122",
            "telephone_number": "915-271-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSERY",
        "first_name": "SHATEQUA",
        "middle_name": "KEIRRA",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shatequaursery@earlybirdtherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2114 N Zaragoza Rd",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799388122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHATEQUA",
            "last_name": "GAMBLE",
            "middle_name": "KEIRRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victor Gabier Urra Puentes, APRN-CNP
• Luis H Urrea III, MD
• Robert Edward Urrea
• Sandra Urrutia Cedillos
• Elisa Urrutia
• Adriana M Urtubey, MD
• Alejandro Urueta, PHARMD
• Roy Urum
• Usck PLLC (Remcon Prime Dental)
• Stanley Usen, MD

• Speech-Language Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.