Individual provider Active NPI

Amanda L Navarro, SLPA

  • Speech-Language Assistant
  • Edinburg, TX
National Provider Identifier
1952598609
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
34133 Issued in TX
Practice address
2616 W Freddy Gonzalez Dr
Edinburg, TX 78539-7351
Phone
(956) 380-3400
Fax
(956) 380-3448
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 34133 TX Primary

Addresses

Primary practice location

2616 W Freddy Gonzalez Dr
Edinburg, TX 78539-7351

Mailing address

2616 W Freddy Gonzalez Dr
Edinburg, TX 78539-7351
Phone (956) 380-3400

Other identifiers 1

IdentifierTypeStateIssuer
34133OtherTXSLPA LICENSURE

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

LicenseStateTypeSpecialty
34133TXMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1952598609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397351",
            "telephone_number": "956-380-3400",
            "fax_number": "956-380-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 W FREDDY GONZALEZ DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397351",
            "telephone_number": "956-380-3400",
            "fax_number": "956-380-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLPA LICENSURE",
            "identifier": "34133",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.