Rosalie Mizcles Eusebio, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

10104 Ballymote Dr
El Paso, TX 79925-4327

Phone

(915) 317-9716

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rosalie Mizcles Eusebio Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Nonik Pediatric Speech & Language Services

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1033458252
  NPD (past) Authorized official
• Nonik Speech & Language Services

  • Speech-Language Assistant
  • El Paso, TX
  • NPI 1568868800

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1982917563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 BALLYMOTE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799254327",
            "telephone_number": "915-317-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 BALLYMOTE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799254327",
            "telephone_number": "915-317-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "ROSALIE",
        "middle_name": "MIZCLES",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "EUSEBIO",
            "middle_name": "MIZCLES",
            "credential": "B.S., M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Juan Carlos Etienne, LPC
• Anthony Ohanja Etogo, PHARMD
• Clement Etoke
• Takang O Etta
• Eugene'S Healthcare Systems, LLC
• Eva Patricia Chavez MD PA
• Eval'S Incontinence and DME
• Evan May MD PLLC
• Evangel Health Care Charities, Inc.
• Adina Evans, SLP

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, 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 Jul 27, 2012; 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.