Maura Quinn-Padron, MS CCC SPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

170 Issued in WI

Practice address

1000 N Oak Ave
Marshfield, WI 54449-5777

Phone

(715) 387-9030

NPI assigned

Aug 21, 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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225143779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495777",
            "telephone_number": "715-387-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN-PADRON",
        "first_name": "MAURA",
        "credential": "MS CCC SPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42679000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith W. Pulvermacher, MD
• Lily M Pulvermacher, CRNA
• Natasha I Pyles Tompkins, FNP
• Aby Dixon Pynadath, M.D.
• Abdallah Qasim, MBBS
• Daniel L Quinn, MD
• Christopher T Raasch
• Jennifer Marie Radtke, PA-C
• Eram Rahim, MD
• Christopher J N Rall, MD

• Speech-Language Pathologist in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Speech-Language Pathologist in Wisconsin

• 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.