Mildred S Guemmer, MS-CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1984 Issued in NM

Practice address

1390 E 20TH St
Farmington, NM 87401-9037

Phone

(505) 599-8535

Fax

(505) 599-8536

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Farmington Public Schools

  • Local Education Agency (LEA)
  • Farmington, NM
  • NPI 1114000221
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164594024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019037",
            "telephone_number": "505-599-8535",
            "fax_number": "505-599-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019037",
            "telephone_number": "505-599-8535",
            "fax_number": "505-599-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEMMER",
        "first_name": "MILDRED",
        "middle_name": "S",
        "credential": "MS-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R6191",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Home Health, Inc.
• Guardian Flight LLC
• Merri Jo Guattery, LPN
• Albertine Guealbaye Anmadji PSR
• John Guemmer, PTA
• Vida M Guffey, RN
• Kettia Nephtalie Guillite
• William Douglas Gurley, MD
• Melissa Gurule
• Anysha Gustafson, FNP-C

• Speech-Language Pathologist in Farmington, NM
• Providers in Farmington, NM by specialty
• Speech-Language Pathologist in New Mexico

• 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.