NPIMap

Organization Active NPI

Albuquerque Speech Language and Hearing Center

  • Speech-Language Assistant
  • Albuquerque, NM
National Provider Identifier
1720093503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
01-605450-00-4 Issued in NM
Legal business name
ALBUQUERQUE SPEECH LANGUAGE AND HEARING CENTER
Practice address
9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone
(505) 247-4224
Fax
(505) 247-1772
NPI assigned
Jul 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tammy J Litts
Title
Business Manager
Phone
(505) 247-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X 01-605450-00-4 NM Primary

Addresses

Primary practice location

9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579

Mailing address

9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone (505) 247-4224

Other identifiers 1

IdentifierTypeStateIssuer
T9081MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000291 NM Part B Supplier - Clinic/Group Practice 0941102339 Receives reassigned benefits from 6 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory
Tax ID family
Albuquerque Speech Hearing Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1011 Buena Vista Dr SE
Albuquerque, NM 87106
Phone (505) 247-4224

9500 Montgomery Blvd NE
Ste 215
Albuquerque, NM 87111
Phone (505) 247-4224

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720093503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY BLVD NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112579",
            "telephone_number": "505-247-4224",
            "fax_number": "505-247-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY BLVD NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112579",
            "telephone_number": "505-247-4224",
            "fax_number": "505-247-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE SPEECH LANGUAGE AND HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "505-247-4224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NM",
            "license": "01-605450-00-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9081",
            "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.