Alicia Ellen Roberts

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5575 Issued in NM

Practice address

501 S Abilene Ave
Portales, NM 88130-6380

Phone

(575) 359-3707

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 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 2

Addresses

Other names 1

• Alicia E Whittington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1992105944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S ABILENE AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306380",
            "telephone_number": "575-359-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S ABILENE AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306380",
            "telephone_number": "575-359-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALICIA",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NM",
            "license": "5575",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "WHITTINGTON",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Crystal Reyes
• Autumn Reynolds
• Kevin Ridenhour
• Sylvia Anne Rife, FNP
• Riovida Counseling
• Joyce A Roberts, MD
• Othon Rodriguez
• Zoe Kambria Rodriguez, LMSW
• Lauren Anne Rodriquez
• Sara Romero

• Speech-Language Assistant in Portales, NM
• Providers in Portales, NM by specialty
• Speech-Language Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.