AUDREY BAEZA BS SLP-ASSISTANT NPI 1265800213

NPI Information

NPI: 1265800213
Provider Name: AUDREY BAEZA, BS, SLP-ASSISTANT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 1500 S AVE K
STATION 3, SHROC
PORTALES, NM
ZIP 88130
Phone: (915) 539-0053

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NPI Details

Audrey Baeza, BS, SLP-ASSISTANT is a student in an organized health care education training program in Portales, NM. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Audrey Baeza, BS, SLP-ASSISTANT NPI is 1265800213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 S AVE K
STATION 3, SHROC
PORTALES, NM
ZIP 88130
Phone: (915) 539-0053

The enumeration date for this NPI number is 9/8/2015 and was last updated on 11/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	36497	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36497	OTHER	TEXAS	STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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