Active NPI
Dienne Marie Castruita, SLP
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1952018665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100436
- Practice address
- 5410 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3550 - Phone
- (210) 541-0058
- NPI assigned
- Nov 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100436 | TX | Primary |
Addresses
Primary practice location
5410 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3550
Mailing address
7830 Lacey Oak CV
San Antonio, TX 78250-2639
Phone (575) 571-2404
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TheraOffice | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100436 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS San Antonio Partners, LLC | Past | Accepting new patients | |
| VHS San Antonio Partners LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1952018665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7830 LACEY OAK CV",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782502639",
"telephone_number": "575-571-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 FREDERICKSBURG RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293550",
"telephone_number": "210-541-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRUITA",
"first_name": "DIENNE",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100436",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TheraOffice",
"affiliation": "N",
"endpointDescription": "Documentation",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5410 Fredericksburg Rd Ste 100",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782293550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.