Vickie Vel Mendoza

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

41940 Issued in TX

Practice address

4000 N US Highway 83
Crystal City, TX 78839-1615

Phone

(956) 722-6221

Fax

(956) 722-6275

NPI assigned

Jun 24, 2021

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 identifiers 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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1942879762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N US HIGHWAY 83",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788391615",
            "telephone_number": "956-722-6221",
            "fax_number": "956-722-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N US HIGHWAY 83",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788391615",
            "telephone_number": "956-722-6221",
            "fax_number": "956-722-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "VICKIE",
        "middle_name": "VEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLPA",
            "identifier": "41940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashley Moron
• Gloria L Ortiz, LPC
• Lorenzo Ortiz, LPC
• Karen Louise Richardson, PT

• Speech-Language Assistant in Crystal City, TX
• Providers in Crystal City, 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 Jul 13, 2021; 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.