Active NPI
Rachel Marie Quam, MSCCCSLP
- Speech-Language Pathologist
- Devils Lake, ND
National Provider Identifier
1073663357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 742
- Practice address
- 412 7TH St NE
Devils Lake, ND 58301-2530 - Phone
- (701) 347-1188
- Fax
- (701) 401-5154
- NPI assigned
- Jan 11, 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 | 742 | ND | Primary |
Addresses
Primary practice location
412 7TH St NE
Devils Lake, ND 58301-2530
Mailing address
412 7TH St NE
Devils Lake, ND 58301-2530
Phone (701) 347-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459138 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
425 College Dr S
Suite 15
Devils Lake, ND 58301-3537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speakstrong | Speech-Language Pathologist | Current | Accepting new patients |
| Speakstrong Therapy | Speech-Language Pathologist | Current | Accepting new patients |
| Lake Region Special Education | Speech-Language Pathologist | Past | Accepting new patients |
Locations
425 College Dr S
Ste 15
Devils Lake, ND 58301
Phone (701) 347-1188
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Devils Lake, ND
- NPI 1194592501
-
- Speech-Language Pathologist
- Devils Lake, ND
- NPI 1730017575
-
- Occupational Therapist
- Devils Lake, ND
- NPI 1902904121
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1073663357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 7TH ST NE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012530",
"telephone_number": "701-347-1188",
"fax_number": "701-402-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 7TH ST NE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012530",
"telephone_number": "701-347-1188",
"fax_number": "701-401-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAM",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "MSCCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459138",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.