DOMINIQUE JAGELKA VASQUEZ (NPI# 1508382516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508382516 |
| Entity Type | Individual |
| Full Name | DOMINIQUE JAGELKA VASQUEZ |
| Practice Address |
3520 Executive Center Dr Ste 128 Austin TX 78731-1636 |
| Mailing Address |
1114 Camino La Costa Apt 2010 Austin TX 78752-3951 |
| Practice Telephone | 5123430222 |
| Mailing Telephone | 6232019615 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
40111 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
3520 EXECUTIVE CENTER DR STE 128 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235655309 | Marli Galbraith | Specialist/Technologist | 3520 Executive Center Dr Ste 128, Austin, TX 78731-1636 | 2017-08-20 |
| 1134621675 | Breanna Lynn Johnson | Speech-Language Pathologist | 3520 Executive Center Dr Ste 128, Austin, TX 78731-1636 | 2018-02-28 |
| 1952828337 | Celina Marie Garcia | Speech-Language Pathologist | 3520 Executive Center Dr Ste 128, Austin, TX 78731-1636 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1467936633 | Bobbie Jo Swierc | Specialist/Technologist | 7310 Napier Trl, Austin, TX 78729-7405 | 2018-09-24 |
| 1275014896 | Bryon Adam Rubio | Specialist/Technologist | 12410 Alameda Trace Cir Apt 2036, Austin, TX 78727-6375 | 2018-08-22 |
| 1184103079 | Paloma Rizo | Specialist/Technologist | 500 E Stassney Ln Apt 411, Austin, TX 78745-3251 | 2018-08-10 |
| 1114439122 | Kassandra Viviann Leza | Specialist/Technologist | 1701 Oak Hill Ln Apt 223, Austin, TX 78744-2222 | 2017-10-31 |
| 1235655309 | Marli Galbraith | Specialist/Technologist | 3520 Executive Center Dr Ste 128, Austin, TX 78731-1636 | 2017-08-20 |
| 1053770990 | Chat Speech and Language Therapy Services Pllc | Specialist/Technologist | 12505a Turtle Rock Rd, Austin, TX 78729-4803 | 2016-02-21 |
| 1669872875 | Stephanie Karen Sabo | Specialist/Technologist | 9800 North Lamar Boulevard, Suite 250, Austin, TX 78753 | 2014-08-26 |
| 1659781284 | Alexis Amara Alvarez | Specialist/Technologist | 3721 Executive Center Drice, Suite 201, Austin, TX 78731 | 2014-05-05 |
| 1487074233 | Michelle Lee Easter | Specialist/Technologist | 223 W Anderson Ln Ste A115, Austin, TX 78752-1212 | 2014-04-21 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.