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Gwen Patriarca , SLP

Audiologist β€’ Clovis, NM

Active NPI 1679606677 Individual Practitioner Female Practitioner
Practice location in NPPES

1600 Sutter Place, Student Support Center
Clovis, NM 880129000

Call 5757694490 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Sutter Place
Student Support Center

Clovis, NM 880129000

Telephone 5757694490
Fax 5757694533
Organization at the Same NPPES Address or Phone
Clovis Municipal Schools Facility NPI 1174662316

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clovis and New Mexico

4 active clinicians are listed under Audiologist with a practice address in Clovis, NM (121 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES NM 655

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NM 655

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
K 3216 (NM)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 01, 2017

Registered at 1600 SUTTER PLACE, STUDENT SUPPORT CENTER, CLOVIS, NM 880129000 (Tel: 5757694490)

πŸ“
Updated Business Mailing Address November 01, 2017

Registered at PO BOX 19000, CLOVIS, NM 881029000 (Tel: 5757694490)

πŸ‘€
Provider Name / Credentials Updated November 01, 2017

Recorded as GWEN PATRIARCA, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Audiologist (license number reported to NPPES: NM 655)

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 2611 EUBANK BLVD NE, AZTEC COMPLEX, ALBUQUERQUE, NM 871121312 (Tel: 5052986752)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 2611 EUBANK BLVD NE, AZTEC COMPLEX, ALBUQUERQUE, NM 871121312 (Tel: 5052986752)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as GWEN PATRIARCA, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (license number reported to NPPES: NM 655)

🟒
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679606677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: November 01, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 19000

Clovis, NM 881029000

Phone: 5757694490

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.