Individual provider Active NPI

Rebecca Morales Kireta, SLP

  • Speech-Language Pathologist
  • Corpus Christi, TX
National Provider Identifier
1972724656
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101710 Issued in TX
Practice address
2505 Waldron Rd
Corpus Christi, TX 78418-4706
Phone
(361) 694-9650
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 101710 TX Primary
Speech-Language Pathologist 235Z00000X SA 9612 FL

Addresses

Primary practice location

2505 Waldron Rd
Corpus Christi, TX 78418-4706

Mailing address

2505 Waldron Rd
Corpus Christi, TX 78418-4706
Phone (361) 694-9650

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 9612FLMDSpeech-Language Pathologist
101710TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1972724656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 WALDRON RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784184706",
            "telephone_number": "361-694-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 WALDRON RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784184706",
            "telephone_number": "361-694-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRETA",
        "first_name": "REBECCA",
        "middle_name": "MORALES",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101710",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.