Individual provider Active NPI

Maria Darst, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1487791331
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1949 Issued in NM
Practice address
2936 Hughes Rd SW
Navajo Es
Albuquerque, NM 87105-5509
Phone
(505) 873-8512
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

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 1949 NM Primary

Addresses

Primary practice location

2936 Hughes Rd SW
Navajo Es
Albuquerque, NM 87105-5509

Mailing address

2936 Hughes Rd SW
Navajo Es
Albuquerque, NM 87105-5509
Phone (505) 873-8512

Other identifiers 1

IdentifierTypeStateIssuer
R 6355MedicaidNM

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

LicenseStateTypeSpecialty
1949NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487791331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 HUGHES RD SW",
            "address_2": "NAVAJO ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055509",
            "telephone_number": "505-873-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 HUGHES RD SW",
            "address_2": "NAVAJO ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055509",
            "telephone_number": "505-873-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARST",
        "first_name": "MARIA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R 6355",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 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.