Active NPI
Karina Johana Tanguma, M.S, CCC-SLP
- Speech-Language Pathologist
- Mission, TX
National Provider Identifier
1942440466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103934
- Practice address
- 2105 W 3 Mile Rd Unit 5
Mission, TX 78573-6732 - Phone
- (956) 581-7172
- Fax
- (956) 581-7130
- NPI assigned
- Feb 23, 2009
- Last updated
- Jun 19, 2009
- 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 | 103934 | TX | Primary |
Addresses
Primary practice location
2105 W 3 Mile Rd Unit 5
Mission, TX 78573-6732
Mailing address
78 Ala Blanca St
Rio Grande City, TX 78582-6628
Phone (956) 240-8090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942440466 | Medicaid | TX | |
| 200319601 | Medicaid | TX |
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 |
|---|---|---|---|
| 103934 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rayito de Sol Pediatric Rehabilitation Center | Past | Accepting new patients | |
| My Little Sunshine Therapy LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Mission, TX
- NPI 1851969265
-
- Rehabilitation Clinic/Center
- Mission, TX
- NPI 1083943161
-
- Speech-Language Pathologist
- Mission, TX
- NPI 1386054138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1942440466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ALA BLANCA ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826628",
"telephone_number": "956-240-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 W 3 MILE RD UNIT 5",
"city": "MISSION",
"state": "TX",
"postal_code": "785736732",
"telephone_number": "956-581-7172",
"fax_number": "956-581-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGUMA",
"first_name": "KARINA",
"middle_name": "JOHANA",
"name_prefix": "Mrs.",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942440466",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200319601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.