Individual provider Active NPI

Maggie Rae Qin Marrinan

  • Speech-Language Pathologist
  • Saint Paul, MN
National Provider Identifier
1912878208
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4057 Issued in MN
Practice address
750 Otto Ave Unit 2322
Saint Paul, MN 55102-5043
Phone
(608) 304-5312
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 4057 MN Primary

Addresses

Primary practice location

750 Otto Ave Unit 2322
Saint Paul, MN 55102-5043

Mailing address

750 Otto Ave Unit 2322
Saint Paul, MN 55102-5043
Phone (608) 304-5312

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
4057MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1912878208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OTTO AVE UNIT 2322",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551025043",
            "telephone_number": "608-304-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OTTO AVE UNIT 2322",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551025043",
            "telephone_number": "608-304-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRINAN",
        "first_name": "MAGGIE",
        "middle_name": "RAE QIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.