Active NPI
Marva Shand McIntosh
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1184052342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01085388
- Practice address
- 1200 1St St NE
Washington, DC 20002-3361 - Phone
- (202) 673-7385
- NPI assigned
- Oct 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01085388 | MD | Primary |
| Local Education Agency (LEA) | 251300000X | 0049635 | DC |
Addresses
Primary practice location
1200 1St St NE
Washington, DC 20002-3361
Mailing address
12319 Quilt Patch LN
Bowie, MD 20720-4358
Phone (202) 550-3342
Other names 1
- Marva Shand McIntosh
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 |
|---|---|---|---|
| 01085388 | MD | MD | Speech-Language Pathologist |
| 0049635 | DC | MD | Local Education Agency (LEA) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1184052342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12319 QUILT PATCH LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204358",
"telephone_number": "202-550-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023361",
"telephone_number": "202-673-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "MARVA",
"middle_name": "SHAND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-28",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01085388",
"primary": true
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "DC",
"license": "0049635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARVA",
"last_name": "SHAND MCINTOSH",
"credential": "M.S., CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.