Patricia Little Soldier, MS-CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6705 Issued in NM

Practice address

4210 Sabana Grande Ave SE
Rio Rancho, NM 87124-1152

Phone

(505) 892-6603

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1912110032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 COORS BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871217307",
            "telephone_number": "505-389-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SABANA GRANDE AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241152",
            "telephone_number": "505-892-6603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Golf Course Rd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244971",
            "country_code": "US",
            "telephone_number": "505-985-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE SOLDIER",
        "first_name": "PATRICIA",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101119",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "6705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197084001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "1912110032",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lindner, PMHNP
• Darlene Lindsey, LSAA
• Megan Lindstrom, LCSW
• Aileen Liong, CNP
• Diandra Little Dog, MD
• Casey G Little, D.C.
• Live Well Family Chiropractic PC
• Lively Littles ABA LLC
• Living in Alignment LLC
• LMN Collaborative LLC

• Speech-Language Pathologist in Rio Rancho, NM
• Providers in Rio Rancho, 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 Oct 11, 2021; 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.