Individual provider Active NPI

Antoinette C Metheney, CCC-SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1205955655
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5168 Issued in NM
Practice address
10220 Shawna St NW
Albuquerque, NM 87114-3560
Phone
(505) 459-8082
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 5168 NM Primary

Addresses

Primary practice location

10220 Shawna St NW
Albuquerque, NM 87114-3560

Mailing address

10220 Shawna St NW
Albuquerque, NM 87114-3560
Phone (505) 459-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222003513 NM Practitioner - Qualified Speech Language Pathologist 7113412628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

425 2ND St
Suite 405
San Francisco, CA 94107-1400

489 Sanchez St
San Francisco, CA 94114-2056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5168NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Professionals Medical Group, P.a. Speech-Language Pathologist CurrentSince Sep 19, 2025 Accepting new patients

Locations

407 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 661-2944

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205955655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SHAWNA ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143560",
            "telephone_number": "505-459-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 SHAWNA ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143560",
            "telephone_number": "505-459-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENEY",
        "first_name": "ANTOINETTE",
        "middle_name": "C",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.

Verify at the official NPI Registry.