Organization Active NPI

Cynthia Simonetti, LLC

  • Speech-Language Pathologist
  • Santa Fe, NM
National Provider Identifier
1518436716
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CYNTHIA SIMONETTI, LLC
Doing business as
Cynthia Simonetti, LLC
Practice address
5 Caliente Rd Ste 5
Santa Fe, NM 87508-9100
Phone
(505) 470-2248
NPI assigned
Nov 16, 2018
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Simonetti, MA, CCC-SLPNPI 1235558719
Title
Speech-Language Pathologist
Phone
(505) 470-2248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

5 Caliente Rd Ste 5
Santa Fe, NM 87508-9100

Mailing address

53 Estambre Rd
Santa Fe, NM 87508-2152
Phone (505) 470-2248

Other names 1

  • Cynthia Simonetti, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190301001502 NM Part B Supplier - Clinic/Group Practice 2860731262 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

5 Caliente Rd
Ste 5
Santa Fe, NM 87508
Phone (505) 466-7526

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1518436716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ESTAMBRE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875082152",
            "telephone_number": "505-470-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD STE 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-470-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA SIMONETTI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "SIMONETTI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-470-2248",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia Simonetti, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cynthia Simonetti, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.