Individual provider Active NPI

Iris Beatriz Ayala, MS, CCC- SLP

  • Speech-Language Pathologist
  • Round Rock, TX
National Provider Identifier
1952355752
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
109682 Issued in TX
Practice address
901 Hidden Valley Dr
Apt. 10105
Round Rock, TX 78665-1394
Phone
(787) 633-2677
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 733 PR
Speech-Language Pathologist 235Z00000X 109682 TX Primary

Addresses

Primary practice location

901 Hidden Valley Dr
Apt. 10105
Round Rock, TX 78665-1394

Mailing address

901 Hidden Valley Dr
Apt. 10105
Round Rock, TX 78665-1394
Phone (787) 633-2677

Other identifiers 1

IdentifierTypeStateIssuer
335075302MedicaidTX

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

LicenseStateTypeSpecialty
733PRMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1952355752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HIDDEN VALLEY DR",
            "address_2": "APT. 10105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651394",
            "telephone_number": "787-633-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HIDDEN VALLEY DR",
            "address_2": "APT. 10105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651394",
            "telephone_number": "787-633-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "IRIS",
        "middle_name": "BEATRIZ",
        "name_prefix": "Ms.",
        "credential": "MS, CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "733",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335075302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.