ELYSA RENEE DE LA TORRE (NPI# 1801389630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801389630 |
| Entity Type | Individual |
| Full Name | ELYSA RENEE DE LA TORRE |
| Credential | SLPA |
| Practice Address |
1830 E Broadway Blvd Ste 124-143 Tucson AZ 85719-5966 |
| Practice Telephone | 5202322021 |
| Practice Fax Number | 5202322553 |
| Mailing Telephone | 5202322021 |
| Mailing Fax Number | 5202322553 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLP111050 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
1830 E BROADWAY BLVD STE 124-143 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-5966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| 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 |
|---|---|---|---|---|
| 1124625447 | Victoria Washburn | Specialist/Technologist | 235 S Langley Ave, Tucson, AZ 85710-1037 | 2020-10-09 |
| 1255940359 | Patricia Burnside | Specialist/Technologist | 3409 W Marlene St, Tucson, AZ 85741-2073 | 2020-07-24 |
| 1265056030 | Judith Guadalupe Pronger | Specialist/Technologist | 202 E Speedway Blvd, Tucson, AZ 85705-7427 | 2020-06-08 |
| 1982236964 | Amy Lauren Copler | Specialist/Technologist | 5245 N Camino De Oeste, Tucson, AZ 85745-8925 | 2020-02-07 |
| 1649822842 | Kerrah Cutter Rupel | Specialist/Technologist | 9552 E Thomas Pl, Tucson, AZ 85748-8146 | 2019-07-09 |
| 1508337833 | Kathryn Kryder | Specialist/Technologist | 7424 E Speedway Blvd Apt C48, Tucson, AZ 85710-0502 | 2018-12-16 |
| 1992272074 | Liz Ann Bagger | Specialist/Technologist | 2015 N Tucker Dr, Tucson, AZ 85716-3078 | 2018-10-26 |
| 1962977645 | Laura Lucero Soria | Specialist/Technologist | 4605 N La Cholla Blvd, Tucson, AZ 85705-4851 | 2018-10-09 |
| 1770068488 | Carol Lee Koehler | Specialist/Technologist | 10242 N Lambert Ct, Tucson, AZ 85742-8731 | 2018-09-27 |
| 1336622679 | Dallin Kartchner | Specialist/Technologist | 1204 N Winstel Blvd Unit 10, Tucson, AZ 85716-3763 | 2018-09-12 |
| Find all providers in TUCSON | ||||
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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.