Individual provider Active NPI

C. Suzanne Diggs-Munson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dexter, NM
National Provider Identifier
1669513115
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3160 Issued in NM
Practice address
400 West First Street
Dexter, NM 88230-0159
Phone
(505) 734-5434
Fax
(505) 734-5424
NPI assigned
Feb 9, 2007
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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 3160 NM Primary

Addresses

Primary practice location

400 West First Street
Dexter, NM 88230-0159

Mailing address

100 E Alameda St
301 South Main Street
Roswell, NM 88203-6105
Phone (505) 624-3276

Other identifiers 3

IdentifierTypeStateIssuer
G2756MedicaidNM
248417OtherNMNMDEPARTMENT OF ED.
09100218OtherNMASHA CERTIFIED MEMBER

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3160NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1669513115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E ALAMEDA ST",
            "address_2": "301 SOUTH MAIN STREET",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882036105",
            "telephone_number": "505-624-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST FIRST STREET",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "882300159",
            "telephone_number": "505-734-5434",
            "fax_number": "505-734-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGS-MUNSON",
        "first_name": "C.",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G2756",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMDEPARTMENT OF ED.",
            "identifier": "248417",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFIED MEMBER",
            "identifier": "09100218",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.