Paula M. Magnuson, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1396 Issued in NM

Practice address

US Hwy 64 Old High School Road
Shiprock, NM 87420

Phone

(505) 368-5163

Fax

(505) 368-5502

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Consolidated School District #22

  • Local Education Agency (LEA)
  • Shiprock, NM
  • NPI 1487798567
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285768093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 TETON DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019270",
            "telephone_number": "505-564-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 64 OLD HIGH SCHOOL ROAD",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-368-5163",
            "fax_number": "505-368-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "PAULA",
        "middle_name": "M.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K2557",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Francis Long, PHARMD
• Edith A. Love, RN
• Chih-Chen Luke Luan, MD
• Shealyn R. Lucero, RN
• Emily Ray Lutken, MD
• Christine Concettina Maisano, MD
• Akinloye Julius Makanjuola, MD
• Jo Ann Malarchick, RN
• Yumna Bint Malik, CNM
• Mary Leanora Mallernee

• Speech-Language Pathologist in Shiprock, NM
• Providers in Shiprock, 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.