Active NPI
Mary Sturtevant, SL
- Speech-Language Assistant
- Winthrop, ME
National Provider Identifier
1053620294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 293 020
- Practice address
- 23 Highland Ave
Winthrop, ME 04364-1506 - Phone
- (207) 377-2241
- Fax
- (207) 377-8658
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 293 020 | ME | Primary |
Addresses
Primary practice location
23 Highland Ave
Winthrop, ME 04364-1506
Mailing address
23 Highland Ave
Winthrop, ME 04364-1506
Phone (207) 377-2241
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
| License | State | Type | Specialty |
|---|---|---|---|
| 293 020 | ME | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Winthrop | Past | Accepting new patients | |
| Winthrop Public Schools Aos 97 | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Winthrop Public Schools
- Local Education Agency (LEA)
- Winthrop, ME
- NPI 1134330129
-
- Local Education Agency (LEA)
- Winthrop, ME
- NPI 1285943712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1053620294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HIGHLAND AVE",
"city": "WINTHROP",
"state": "ME",
"postal_code": "043641506",
"telephone_number": "207-377-2241",
"fax_number": "207-377-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 HIGHLAND AVE",
"city": "WINTHROP",
"state": "ME",
"postal_code": "043641506",
"telephone_number": "207-377-2241",
"fax_number": "207-377-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURTEVANT",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "SL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "ME",
"license": "293 020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winthrop, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.