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Eastern New Mexico University

NPI 1053794727ActiveOrganization· Speech-Language Pathologist· Portales, NM

Speech-Language Pathologist in Portales, New Mexico, registered in NPPES in June 2015. The authorized official on file is Mouzon Bass, Agent.

Overview

NPI1053794727
StatusActive
Entity typeOrganization
NPI issuedJun 30, 2015
Last updated in NPPESJul 13, 2026
Certified by providerJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Portales

All Speech-Language Pathologist providers in New Mexico →