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Deactivated NPI 1831699834 Deactivated / Inactive NPI Male Practitioner

Ivan Sotelo , SLP ASSISTANT

Specialist/Technologist - Speech-Language Assistant • Garland, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ivan Sotelo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2018
NPI Deactivation Date June 27, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Ivan Sotelo, SLP ASSISTANT was a registered Specialist/Technologist - Speech-Language Assistant practicing in Garland, TX. Throughout an active medical career spanning 1 years, Ivan Sotelo provided care at the practice location at 3841 PICKETT PL until profile deactivation on 2018-06-27.

Practice Location & Contact Primary Location

Practice Address

3841 Pickett Pl

Garland, TX 750446455

Telephone 2142648437

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Garland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Garland, TX (3463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 36254

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 27, 2018

Record deactivated on June 27, 2018

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NPI Profile Active February 15, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2018

Registered at 3841 PICKETT PL, GARLAND, TX 750446455 (Tel: 2142648437)

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Updated Business Mailing Address February 15, 2018

Registered at 3841 PICKETT PL, GARLAND, TX 750446455 (Tel: 2142648437)

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Provider Name / Credentials Updated February 15, 2018

Recorded as IVAN SOTELO, SLP ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2018

Specialist/Technologist (License #36254 in TX)

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Initial NPI Registration & Enumeration February 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831699834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2018
Last Update: February 15, 2018
Deactivation Date: June 27, 2018
Update or Correct Profile

Mailing Address

3841 Pickett Pl

Garland, TX 750446455

Phone: 2142648437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.