Individual provider Active NPI

Diann Messuri, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1770604027
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
571 Issued in NM
Practice address
11001 Camero Ave NE
Eisenhower Ms
Albuquerque, NM 87111-1802
Phone
(505) 292-2530
NPI assigned
Apr 3, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 571 NM Primary

Addresses

Primary practice location

11001 Camero Ave NE
Eisenhower Ms
Albuquerque, NM 87111-1802

Mailing address

11001 Camero Ave NE
Eisenhower Ms
Albuquerque, NM 87111-1802
Phone (505) 292-2530

Other identifiers 1

IdentifierTypeStateIssuer
H 2435MedicaidNM

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
571NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770604027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 CAMERO AVE NE",
            "address_2": "EISENHOWER MS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111802",
            "telephone_number": "505-292-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 CAMERO AVE NE",
            "address_2": "EISENHOWER MS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111802",
            "telephone_number": "505-292-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSURI",
        "first_name": "DIANN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H 2435",
            "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 9, 2007; 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.