Active NPI
Mary Kaye Maloney, CCC-SLP
- Speech-Language Pathologist
- Dora, NM
National Provider Identifier
1003003906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1826
- Practice address
- 100 School Street
Dora Consolidated Schools
Dora, NM 88115-0327 - Phone
- (505) 477-2211
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1826 | NM | Primary |
Addresses
Primary practice location
100 School Street
Dora Consolidated Schools
Dora, NM 88115-0327
Mailing address
511 Indian Hills Apache Trail
Portales, NM 88130-9106
Phone (505) 478-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1826 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1003003906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 INDIAN HILLS APACHE TRAIL",
"city": "PORTALES",
"state": "NM",
"postal_code": "881309106",
"telephone_number": "505-478-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SCHOOL STREET",
"address_2": "DORA CONSOLIDATED SCHOOLS",
"city": "DORA",
"state": "NM",
"postal_code": "881150327",
"telephone_number": "505-477-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "MARY",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dora, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.