Individual provider Active NPI

Tariq Ahmed, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1669605044
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
NOT KNOWN Issued in NM
Practice address
4505 Bali CT NE
Albuquerque, NM 87111-2801
Phone
(505) 292-7104
Fax
(505) 296-2183
NPI assigned
Sep 1, 2009
Last updated
Aug 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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 NOT KNOWN NM Primary

Addresses

Primary practice location

4505 Bali CT NE
Albuquerque, NM 87111-2801

Mailing address

4505 Bali CT NE
Albuquerque, NM 87111-2801
Phone (505) 292-7104

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
NOT KNOWNNMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1669605044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BALI CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112801",
            "telephone_number": "505-292-7104",
            "fax_number": "505-296-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BALI CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112801",
            "telephone_number": "505-292-7104",
            "fax_number": "505-296-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "TARIQ",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "NOT KNOWN",
            "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 16, 2010; 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.