Active NPI
Jessica Michele Mount Matney, M.S. CCC-SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1508927526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3723
- Practice address
- 230 Truman St NE
Albuquerque, NM 87108-1333 - Phone
- (505) 268-9506
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3723 | NM | Primary |
Addresses
Primary practice location
230 Truman St NE
Albuquerque, NM 87108-1333
Mailing address
1014 Claudine St NE
Albuquerque, NM 87112-5602
Phone (505) 453-1714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88527522 | Medicaid | NM |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3723 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico School for the Blind and Visually Impaired Early Childhood | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1053460683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508927526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 CLAUDINE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125602",
"telephone_number": "505-453-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 TRUMAN ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081333",
"telephone_number": "505-268-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUNT MATNEY",
"first_name": "JESSICA",
"middle_name": "MICHELE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "3723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88527522",
"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.