Individual provider Active NPI

Vicki McNown, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1740318898
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
253 Issued in NM
Practice address
6316 Constitution Ave NE
Mark Twain Es
Albuquerque, NM 87110-5944
Phone
(505) 255-8337
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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 253 NM Primary

Addresses

Primary practice location

6316 Constitution Ave NE
Mark Twain Es
Albuquerque, NM 87110-5944

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
96172550MedicaidNM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
253NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1740318898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MONTGOMERY NE",
            "address_2": "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": "6316 CONSTITUTION AVE NE",
            "address_2": "MARK TWAIN ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105944",
            "telephone_number": "505-255-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNOWN",
        "first_name": "VICKI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96172550",
            "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 Jul 8, 2015; 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.