Individual provider Active NPI

Veronica E Rallis, M.S., CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1952554719
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4445 Issued in NM
Practice address
6768 Diamond Ridge Dr
El Paso, TX 79912-7621
Phone
(915) 373-1092
Fax
(866) 830-3399
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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 19745 TX
Speech-Language Pathologist 235Z00000X 4445 NM Primary

Addresses

Primary practice location

6768 Diamond Ridge Dr
El Paso, TX 79912-7621

Mailing address

6768 Diamond Ridge Dr
El Paso, TX 79912-7621
Phone (915) 373-1092

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
4445NMMDSpeech-Language Pathologist
19745TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1952554719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6768 DIAMOND RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127621",
            "telephone_number": "915-373-1092",
            "fax_number": "866-830-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 DIAMOND RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127621",
            "telephone_number": "915-373-1092",
            "fax_number": "866-830-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLIS",
        "first_name": "VERONICA",
        "middle_name": "E",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19745",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.