Active NPI
Marlane Diemer Parra, CCC-SLP
- Speech-Language Pathologist
- Las Cruces, NM
National Provider Identifier
1437168127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010
- Practice address
- 2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111 - Phone
- (505) 523-8080
- Fax
- (505) 523-8861
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 010 | NM | Primary |
Addresses
Primary practice location
2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111
Mailing address
3101 Bowman St
Las Cruces, NM 88005-7709
Phone (505) 525-0970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PROVP15463 | Other | NM | MOLINA HEALTH PLAN |
| NM00E377 | Other | NM | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Valle Physical Therapy and Rehabilitation | Past | Accepting new patients |
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.
-
dba Del Valle PT and Rehab
- Orthopedic Physical Therapist
- Las Cruces, NM
- NPI 1871688184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437168127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 BOWMAN ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880057709",
"telephone_number": "505-525-0970",
"fax_number": "505-523-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 MISSOURI AVE",
"address_2": "SUITE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015111",
"telephone_number": "505-523-8080",
"fax_number": "505-523-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRA",
"first_name": "MARLANE",
"middle_name": "DIEMER",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH PLAN",
"identifier": "PROVP15463",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM00E377",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- 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.