Individual provider Active NPI

Maria F Bishop, CCC- SLP

  • Speech-Language Pathologist
  • Havre de Grace, MD
National Provider Identifier
1093295404
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09618 Issued in MD
Practice address
318 Seattle Slew PL
Havre de Grace, MD 21078-2574
Phone
(717) 877-1534
NPI assigned
Aug 15, 2018
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 241118 KY
Speech-Language Pathologist 235Z00000X 09618 MD Primary

Addresses

Primary practice location

318 Seattle Slew PL
Havre de Grace, MD 21078-2574

Mailing address

318 Seattle Slew PL
Havre de Grace, MD 21078-2574
Phone (717) 877-1534

Other practice location 1

153 Magnolia Cir
Fort Knox, KY 40121-3111
Phone (717) 645-5840

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
241118KYMDSpeech-Language Pathologist
09618MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1093295404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SEATTLE SLEW PL",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782574",
            "telephone_number": "717-877-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 SEATTLE SLEW PL",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782574",
            "telephone_number": "717-877-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Magnolia Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Knox",
            "state": "KY",
            "postal_code": "401213111",
            "country_code": "US",
            "telephone_number": "717-645-5840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARIA",
        "middle_name": "F",
        "credential": "CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "241118",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

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