Individual provider Active NPI

Janice L. Orsak, SPEECH-LANGUAGE PATH

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1073689592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
455 Issued in NM
Practice address
610 Woodland Ave NW
Albuquerque, NM 87107-1254
Phone
(505) 341-2253
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 455 NM Primary

Addresses

Primary practice location

610 Woodland Ave NW
Albuquerque, NM 87107-1254

Mailing address

610 Woodland Ave NW
Albuquerque, NM 87107-1254
Phone (505) 341-2253

Other identifiers 1

IdentifierTypeStateIssuer
000Z1883MedicaidNM

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073689592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WOODLAND AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071254",
            "telephone_number": "505-341-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WOODLAND AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071254",
            "telephone_number": "505-341-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSAK",
        "first_name": "JANICE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "SPEECH-LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000Z1883",
            "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 8, 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.

Verify at the official NPI Registry.