Sandia Speech and Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SANDIA SPEECH AND LANGUAGE LLC

Doing business as

Sandia Speech and Language LLC

Practice address

5128 Pyrite PL NW
Albuquerque, NM 87114-1300

Phone

(505) 352-4076

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Abby Hoeksema, MS, CCC-SLP

Title

Speech Language Pathologist

Phone

(505) 352-4076

Specialties & licenses 1

Addresses

Other names 1

• Sandia Speech and Language LLC Doing business as

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1992473532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 PYRITE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141300",
            "telephone_number": "505-352-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 PYRITE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141300",
            "telephone_number": "505-352-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA SPEECH AND LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "HOEKSEMA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-352-4076",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandia Speech and Language LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.