Abq Prof Ther Srvcs LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ABQ PROF THER SRVCS LLC

Practice address

11905 Allison CT NE
Albuquerque, NM 87112-3503

Phone

(505) 480-2787

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Covell, MS CCC SLPNPI 1588996797

Title

Originator

Phone

(505) 480-2787

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Nancy Covell, MS CCC SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1588996797
  NPD (past) Authorized official

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1750613337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 ALLISON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123503",
            "telephone_number": "505-480-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 ALLISON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123503",
            "telephone_number": "505-480-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ PROF THER SRVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "COVELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ORIGINATOR",
        "authorized_official_telephone_number": "505-480-2787",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.