Deirdre Anne Quinlan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027237 Issued in NY

Practice address

5005 31St Ave
Woodside, NY 11377-1333

Phone

(718) 728-2676

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2017.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1477066231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 31ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 31ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771333",
            "telephone_number": "718-728-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "DEIRDRE",
        "middle_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens County Podiatry PC
• Queens Medical South PC
• Queens Wound & Medical Care PC
• Hepshiba Rita S Quijote, PT
• Octavio Quijote Jr., PT
• Arlene Quino
• Nathalie Quinonez
• Rosana Quintana, TEACHER
• Gloria Quintero
• Dayana Angela Quispe Salome

• All providers in Woodside, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.