Individual provider Active NPI

Dorothy Rall, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Hobbs, NM
National Provider Identifier
1881812329
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
NM1173 Issued in NM
Practice address
1624 W Millen Dr
Hobbs, NM 88242-9716
Phone
(505) 390-9596
Fax
(505) 393-5683
NPI assigned
Apr 22, 2007
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 NM1173 NM Primary

Addresses

Primary practice location

1624 W Millen Dr
Hobbs, NM 88242-9716

Mailing address

1624 W Millen Dr
Hobbs, NM 88242-9716
Phone (505) 390-9596

Other identifiers 1

IdentifierTypeStateIssuer
000D4116MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1624 W Millen Dr
Hobbs, NM 88242-9773

320 N Turner St
Hobbs, NM 88240-8302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NM1173NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881812329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W MILLEN DR",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882429716",
            "telephone_number": "505-390-9596",
            "fax_number": "505-393-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W MILLEN DR",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882429716",
            "telephone_number": "505-390-9596",
            "fax_number": "505-393-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALL",
        "first_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "NM1173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D4116",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, 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.
  • 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.