Janis R Abeyta
Individual provider Active NPI Speech-Language Pathologist · Albuquerque, NM
NPI 1043349574 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1043349574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3029 (NM)
- Practice address
- 7519 Prairie Rd NE
Albuquerque, NM 87109-1802 - Phone
- (505) 553-9560
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3029 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3029 | NM | Yes |
Addresses
Primary practice location
7519 Prairie Rd NE
Albuquerque, NM 87109-1802
Mailing address
7519 Prairie Rd NE
Albuquerque, NM 87109-1802
Phone (505) 553-9560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9994 | Medicaid | NM |
Other providers in Albuquerque, NM
- Diana M Abeyta
- Frances Maria Abeyta
- Genine Abeyta
- Gloria Abeyta
- James Abeyta
- Jolene Kathy Abeyta
- Kimberly Bernadette Abeyta
- Laura Ann Abeyta
- Laura L Abeyta
- Lillian Abeyta
All providers in Albuquerque, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.