Active NPI
Maria I Lipp, M.S., CCC-SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1053477612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1123
- Practice address
- 338 Mesilla St NE
Albuquerque, NM 87108-2041 - Phone
- (505) 256-1507
- NPI assigned
- Dec 28, 2006
- 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 | 1123 | NM | Primary |
Addresses
Primary practice location
338 Mesilla St NE
Albuquerque, NM 87108-2041
Mailing address
338 Mesilla St NE
Albuquerque, NM 87108-2041
Phone (505) 256-1507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S1209 | Medicaid | NM |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1123 | NM | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053477612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 MESILLA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082041",
"telephone_number": "505-256-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 MESILLA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082041",
"telephone_number": "505-256-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPP",
"first_name": "MARIA",
"middle_name": "I",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S1209",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.