Active NPI
Mary Terrell
- Speech-Language Pathologist
- La Place, LA
National Provider Identifier
1164785697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103697
- Practice address
- 513 Palm St
La Place, LA 70068-4021 - Phone
- (830) 370-2418
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 103697 | TX | Primary |
Addresses
Primary practice location
513 Palm St
La Place, LA 70068-4021
Mailing address
513 Palm St
La Place, LA 70068-4021
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 |
|---|---|---|---|
| 103697 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1164785697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 PALM ST",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700684021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 PALM ST",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700684021",
"telephone_number": "830-370-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "MARY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Place, LA
- Angela Taylor
- Derrius Ungell Taylor I
- TCL Medical Transportation LLC
- Teche Action Board, Inc. (Teche Health SBHC @ LaPlace Elementary)
- Teche Regional Physician Practices LLC
- Jefferson Cox Terrill III, LPC
- The Laplace Optometry Group
- The Right Choice Project
- The Vision Store of Laplace, Inc.
- Therapy Center of Laplace
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.