Individual provider Active NPI

Megan Camille Giese, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1639427545
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
C 5170 Issued in NM
Practice address
8101 Gavin Dr NW
Painted Sky Es
Albuquerque, NM 87120-5536
Phone
(505) 836-7763
NPI assigned
Aug 27, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 C 5170 NM Primary

Addresses

Primary practice location

8101 Gavin Dr NW
Painted Sky Es
Albuquerque, NM 87120-5536

Mailing address

8101 Gavin Dr NW
Painted Sky Es
Albuquerque, NM 87120-5536
Phone (505) 836-7763

Other identifiers 1

IdentifierTypeStateIssuer
NONE ASSIGNEDMedicaidNM

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
C 5170NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1639427545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 GAVIN DR NW",
            "address_2": "PAINTED SKY ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205536",
            "telephone_number": "505-836-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 GAVIN DR NW",
            "address_2": "PAINTED SKY ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205536",
            "telephone_number": "505-836-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESE",
        "first_name": "MEGAN",
        "middle_name": "CAMILLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C 5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE ASSIGNED",
            "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 Aug 27, 2012; 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.