Individual provider Active NPI

Paola Alexandra Varon, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1982964847
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116762 Issued in TX
Practice address
8118 Fry Rd Ste 1104
Cypress, TX 77433-7852
Phone
(281) 758-8404
Fax
(832) 220-9408
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 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 Assistant 2355S0801X 36619 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 116762 TX Primary

Addresses

Primary practice location

8118 Fry Rd Ste 1104
Cypress, TX 77433-7852

Mailing address

8118 Fry Rd Ste 1104
Cypress, TX 77433-7852
Phone (281) 758-8404

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
36619TXMDSpeech-Language Assistant
116762TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Bilingual Therapy Clinic, PLLC Speech-Language Pathologist CurrentSince Jul 10, 2022 Accepting new patients
M. Winter & Associates Pediatric Therapy Centers, LTD Past Accepting new patients
M Winter & Associates Pediatric Rehabilitation Center Inc Past Accepting new patients

Locations

8118 Fry Rd
Ste 1104
Cypress, TX 77433
Phone (281) 758-8404

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1982964847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 FRY RD STE 1104",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337852",
            "telephone_number": "281-758-8404",
            "fax_number": "832-220-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 FRY RD STE 1104",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337852",
            "telephone_number": "281-758-8404",
            "fax_number": "832-220-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARON",
        "first_name": "PAOLA",
        "middle_name": "ALEXANDRA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "36619",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.