Lucerito Carrillo Izaguirre, B.S. SLP-ASSISTANT

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

38314 Issued in TX

Practice address

6666 Harwin Dr Ste 490
Houston, TX 77036-2275

Phone

(713) 429-1176

Fax

(832) 252-9263

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bilingual Speech Therapy of Houston

  dba IM Therapy

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1386882389
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1952704108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 HARWIN DR STE 490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362275",
            "telephone_number": "713-429-1176",
            "fax_number": "832-252-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 HARWIN DR STE 490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362275",
            "telephone_number": "713-429-1176",
            "fax_number": "832-252-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAGUIRRE",
        "first_name": "LUCERITO",
        "middle_name": "CARRILLO",
        "name_prefix": "Mrs.",
        "credential": "B.S. SLP-ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "38314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celyn Iyoke, NP
• Iz Optical
• Shayan Alireza Izaddoost, M.D., PH.D.
• Ehsan Izadi
• Marzyeh Izadnia, FNP
• Uzoaku Ndidi Izah
• Chigozirim Izeogu
• Chen-Fung Soo Izfar, R.PH
• Miguel Armando Izquierdo, M.D.
• Naomi Odette Izquierdo, PHARM.D.

• Speech-Language Assistant in Houston, TX
• Providers in Houston, 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 Oct 2, 2014; 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.