Individual provider Active NPI

Barbara Jo Pearson, MA.ED

  • Speech-Language Pathologist
  • Alamogordo, NM
National Provider Identifier
1619527785
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF6797 Issued in NM
Practice address
805 12TH St
Alamogordo, NM 88310-6434
Phone
(575) 812-6000
Fax
(575) 812-5999
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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 CF6797 NM Primary

Addresses

Primary practice location

805 12TH St
Alamogordo, NM 88310-6434

Mailing address

PO Box 650
Alamogordo, NM 88311-0650
Phone (575) 812-6000

Other identifiers 1

IdentifierTypeStateIssuer
CF6797OtherNMNM REGULATIONS AND LICENSING DEPARTMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Gmail Other

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
CF6797NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1619527785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883110650",
            "telephone_number": "575-812-6000",
            "fax_number": "575-812-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 12TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106434",
            "telephone_number": "575-812-6000",
            "fax_number": "575-812-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BARBARA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MA.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF6797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM REGULATIONS AND LICENSING DEPARTMENT",
            "identifier": "CF6797",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gmail",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "address_1": "805 12th St",
            "city": "Alamogordo",
            "state": "NM",
            "country_code": "US",
            "postal_code": "883106434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.