Active NPI
Stephanie Michele McDougle, MS, CCC-SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1306182811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP5443
- Practice address
- 2211 Lomas Blvd NE
Speech Pathology Department
Albuquerque, NM 87106-2745 - Phone
- (505) 272-2974
- Fax
- (505) 272-4906
- NPI assigned
- Jan 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP5443 | NM | Primary |
| Speech-Language Pathologist | 235Z00000X | C-5246 | NM |
Addresses
Primary practice location
2211 Lomas Blvd NE
Speech Pathology Department
Albuquerque, NM 87106-2745
Mailing address
2211 Lomas Blvd NE
Speech Pathology Department
Albuquerque, NM 87106-2745
Phone (505) 272-2974
Other names 1
- Stephanie Michele Holguin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5246 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1306182811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"address_2": "SPEECH PATHOLOGY DEPARTMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062745",
"telephone_number": "505-272-2974",
"fax_number": "505-272-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"address_2": "SPEECH PATHOLOGY DEPARTMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062745",
"telephone_number": "505-272-2974",
"fax_number": "505-272-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOUGLE",
"first_name": "STEPHANIE",
"middle_name": "MICHELE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLP5443",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C-5246",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "HOLGUIN",
"middle_name": "MICHELE",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.