1942542568 NPI number — MARIBEL LOZOYA-NJEMANZE M.A, CCC-SLP

NPI Number: 1942542568
Health Care Provider/Practitioner: MARIBEL LOZOYA-NJEMANZE M.A, CCC-SLP

NPI Number : 1942542568 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942542568",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOZOYA-NJEMANZE",
    "FirstName": "MARIBEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A, CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 86",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARREY",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87930-0086",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-940-9550",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "484 APACHE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARREY",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87930-0086",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "575-725-6274",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/21/2013",
    "LastUpdateDate": "09/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "09/05/2025",
    "NPIReactivationDate": "09/25/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SLP5438",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SP30657",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "C5159",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}