Tera Devon Muskrat, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3863 Issued in NM

Practice address

200 Sanders LN
Ranchos de Taos, NM 87557-7809

Phone

(505) 737-6150

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396807608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875710508",
            "telephone_number": "505-737-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANDERS LN",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875577809",
            "telephone_number": "505-737-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKRAT",
        "first_name": "TERA",
        "middle_name": "DEVON",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19322208",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lozen & Company, LLC
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• Carolyn Montoya
• Monica Lee Palomino
• Antonio C Quintana, LMT
• Ana Cristina Rebellon, RDN
• Isaiah Nicholas Roy
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• Speech-Language Pathologist in Ranchos de Taos, NM
• Providers in Ranchos de Taos, 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.