Individual provider Active NPI

Mary Elizabeth Pate, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Pensacola, FL
National Provider Identifier
1245525575
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17790 Issued in FL
Practice address
5853 Arch Ave
Pensacola, FL 32526-3231
Phone
(850) 324-2259
Fax
(850) 807-5310
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ5444 FL
Speech-Language Pathologist 235Z00000X SA17790 FL Primary
Speech-Language Pathologist 235Z00000X 10121 NC
Speech-Language Pathologist 235Z00000X SA11702 FL
Speech-Language Pathologist 235Z00000X SLP008112 GA

Addresses

Primary practice location

5853 Arch Ave
Pensacola, FL 32526-3231

Mailing address

5853 Arch Ave
Pensacola, FL 32526-3231
Phone (850) 324-2259

Other identifiers 1

IdentifierTypeStateIssuer
106286000MedicaidFL

Other names 1

  • Mary Elizabeth McAfee Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10121NCMDMental Health Counselor
SA11702FLMDSpeech-Language Pathologist
SA17790FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Ingram & Associates, Inc. Speech-Language Pathologist Past Accepting new patients
Integrity Therapy Solutions, Inc. Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1245525575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5853 ARCH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263231",
            "telephone_number": "850-324-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5853 ARCH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263231",
            "telephone_number": "850-324-2259",
            "fax_number": "850-807-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5444",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17790",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10121",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11702",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106286000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCAFEE",
            "middle_name": "ELIZABETH",
            "credential": "M.S, CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.