Individual provider Active NPI

Maryann Murphy, M.ED.

  • Speech-Language Pathologist
  • Roswell, NM
National Provider Identifier
1740870880
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP2091 Issued in NM
Practice address
400 E College Blvd Ste E
Roswell, NM 88201-7570
Phone
(575) 755-6677
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 SLP2091 NM Primary

Addresses

Primary practice location

400 E College Blvd Ste E
Roswell, NM 88201-7570

Mailing address

400 E College Blvd Ste E
Roswell, NM 88201-7570
Phone (575) 755-6677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322000102 NM Practitioner - Qualified Speech Language Pathologist 7810334117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Safety and Physical Therapy Specialists LLCGroup PAC ID 2264730860, 4 clinicians

Practice addresses (Care Compare)

805 N Richardson Ave
Roswell, NM 88201-4920
Phone (575) 622-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2091NMMDRehabilitation Chiropractor
SLP2091NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Safety and Physical Therapy Specialists, LLC Speech-Language Pathologist CurrentSince Mar 1, 2024 Accepting new patients
Sentry Home Health Care LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

805 N Richardson Ave
Roswell, NM 88201
Phone (575) 622-6260

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1740870880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-755-6677",
            "fax_number": "575-755-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-755-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MARYANN",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP2091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.