Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679606677 Individual Practitioner Female Practitioner

Gwen Patriarca , SLP

Audiologist • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Gwen Patriarca, SLP is a registered healthcare professional specializing in Audiologist in Clovis, NM. Practice services are available at 1600 SUTTER PLACE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Sutter Place
Student Support Center

Clovis, NM 880129000

Telephone 5757694490
Fax 5757694533
Associated Practice Facility / Clinic
🏢 Clovis Municipal Schools Facility NPI 1174662316

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Clovis, NM (125 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
K 3216 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Martin , RN

Registered Nurse - School

NPI 1003399866

Registered Nurse

David Sanchez , RN

Registered Nurse - School

NPI 1013490879

Registered Nurse

Karina Hernandez , RN

Registered Nurse - School

NPI 1013790328

Registered Nurse

Larissa Stieg , RN, BSN

Registered Nurse - School

NPI 1033692892

Registered Nurse, Bachelor of Science in Nursing

Jessica Mcmath

Student in an Organized Health Care Education/Training Program

NPI 1043737869
Jasmine Wynne Kazarian , RN

Registered Nurse - School

NPI 1093541526

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

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

📍
Updated Business Mailing Address November 01, 2017

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

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as GWEN PATRIARCA, SLP

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

Audiologist (License #655 in NM)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

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

📍
Updated Business Mailing Address July 09, 2007

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

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GWEN PATRIARCA, SLP

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

Speech-Language Pathologist (License #655 in NM)

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.