Active NPI
Andria Demarco
- Speech-Language Assistant
- Bedford, MA
National Provider Identifier
1356675623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 368
- Practice address
- 7302 Avalon Dr
Bedford, MA 01730-2086 - Phone
- (774) 249-1382
- NPI assigned
- Sep 19, 2009
- 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 Assistant | 2355S0801X | 368 | MA | Primary |
Addresses
Primary practice location
7302 Avalon Dr
Bedford, MA 01730-2086
Mailing address
7302 Avalon Dr
Bedford, MA 01730-2086
Phone (774) 249-1382
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 |
|---|---|---|---|
| 368 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253318400000",
"number": "1356675623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7302 AVALON DR",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302086",
"telephone_number": "774-249-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7302 AVALON DR",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302086",
"telephone_number": "774-249-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "ANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-19",
"last_updated": "2009-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MA",
"license": "368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.