Idalia Penaloza, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116695 Issued in TX

Practice address

1500 Jackson St Ste 300
Richmond, TX 77469-3250

Phone

(281) 344-1808

Fax

(281) 344-1807

NPI assigned

Apr 28, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Faith Pediatric Rehabilitation

  • Specialist
  • Richmond, TX
  • NPI 1952583254
  NPD (past)

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1972185924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693250",
            "telephone_number": "281-344-1808",
            "fax_number": "281-344-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693250",
            "telephone_number": "281-344-1808",
            "fax_number": "281-344-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOZA",
        "first_name": "IDALIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "116695",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peks Medical Services LLC
• Pelican Pharmaceuticals (Medi-Hub Pharmacy)
• Alexis Michelle Pellegrino
• Elsie Enid Pena
• Aadamary Penaloza
• Amanda J Perches, OTR
• Francis A Perez, LSA
• Peridot Hearts Home Health LLC
• Tena Perry
• Emlynn Peter

• Speech-Language Pathologist in Richmond, TX
• Providers in Richmond, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.