Kristin Maruska, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2489 Issued in NM

Practice address

1090 Med Park Dr.
Las Cruces, NM 88005-3236

Phone

(575) 523-7243

Fax

(575) 525-5641

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Direct Therapy Services, LLP

  • Specialist
  • Las Cruces, NM
  • NPI 1386753010

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1619040664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 MED PARK DR.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053236",
            "telephone_number": "575-523-7243",
            "fax_number": "575-525-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MED PARK DR.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053236",
            "telephone_number": "575-523-7243",
            "fax_number": "575-525-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSKA",
        "first_name": "KRISTIN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Christiana Martinez, APRN
• Tristen Martinez, PHYSICAL THERAPIST
• Tyneel Martinez
• Victoria Selena Martinez
• Shawna Martinson
• Mary Therese Gutierrez
• Jessica Mascarenas
• Anthony Charles Mason, COMMUNITY SUPPORT WO
• Charlotte H Mason, M.S., CCC-SLP
• Christopher W Mason, LISW

• Speech-Language Pathologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.