Active NPI
Desiree A. Stone, SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1609907112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1272
- Practice address
- 1700 Lomas Blvd NE Ste 1300
Albuquerque, NM 87106-3835 - Phone
- (505) 277-4453
- NPI assigned
- Mar 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 | 1272 | NM | Primary |
Addresses
Primary practice location
1700 Lomas Blvd NE Ste 1300
Albuquerque, NM 87106-3835
Mailing address
1700 Lomas Blvd NE Ste 1300
Albuquerque, NM 87106-3835
Phone (505) 277-4453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z 1544 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191126000429 | NM | Practitioner - Qualified Speech Language Pathologist | 2860825205 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Unm Speech & Hearing Sciences Center | Past | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Organizations & group practices 3
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/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1013221423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1609907112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 LOMAS BLVD NE STE 1300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063835",
"telephone_number": "505-277-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LOMAS BLVD NE STE 1300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063835",
"telephone_number": "505-277-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "DESIREE",
"middle_name": "A.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z 1544",
"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 Mar 3, 2020; 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.