Individual provider Active NPI

Linda Ann Ciro, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Artesia, NM
National Provider Identifier
1376694141
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2629 Issued in NM
Practice address
1106 W Quay Ave
Artesia, NM 88210-1826
Phone
(505) 746-2777
NPI assigned
Jan 16, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2629 NM Primary

Addresses

Primary practice location

1106 W Quay Ave
Artesia, NM 88210-1826

Mailing address

1106 W Quay Ave
Artesia, NM 88210-1826
Phone (505) 746-2777

Other identifiers 1

IdentifierTypeStateIssuer
69742MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327001006 NM Practitioner - Qualified Speech Language Pathologist 6901235886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2629NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions of New Mexico LLC Speech-Language Pathologist CurrentSince Jan 1, 2020 Accepting new patients

Locations

2001 W Grand Ave
Artesia, NM 88210
Phone (575) 748-5071

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376694141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W QUAY AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101826",
            "telephone_number": "505-746-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W QUAY AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101826",
            "telephone_number": "505-746-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRO",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69742",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.