Individual provider Active NPI

Maura T Baiardo, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1124174685
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3173 Issued in NM
Practice address
3801 Morningside Dr NE
Hodgin Es
Albuquerque, NM 87110-1013
Phone
(505) 881-9855
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
3173NMMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3173 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

3801 Morningside Dr NE
Hodgin Es
Albuquerque, NM 87110-1013

Mailing address

3801 Morningside Dr NE
Hodgin Es
Albuquerque, NM 87110-1013
Phone (505) 881-9855

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
27470083MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124174685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MORNINGSIDE DR NE",
            "address_2": "HODGIN ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101013",
            "telephone_number": "505-881-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MORNINGSIDE DR NE",
            "address_2": "HODGIN ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101013",
            "telephone_number": "505-881-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIARDO",
        "first_name": "MAURA",
        "middle_name": "T",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27470083",
            "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.

Verify at the official NPI Registry.