Active NPI
Fanny Garza, MD
- Speech-Language Pathologist
- Portales, NM
National Provider Identifier
1285151316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 520 W 5TH St
Portales, NM 88130-6329 - Phone
- (575) 356-7074
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
520 W 5TH St
Portales, NM 88130-6329
Mailing address
504 S Avenue F
Portales, NM 88130-6342
Phone (575) 607-6804
Other names 1
- Mrs. Fanny Ramirez
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1285151316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 S AVENUE F",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306342",
"telephone_number": "575-607-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W 5TH ST",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306329",
"telephone_number": "575-356-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "FANNY",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FANNY",
"last_name": "RAMIREZ",
"prefix": "MRS.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.