Mary Renee Thurston-Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111756 Issued in TX

Practice address

311 Davis Rd
Granbury, TX 76049-5909

Phone

(817) 408-4768

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1376214239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 BERRY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760491114",
            "telephone_number": "903-861-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DAVIS RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760495909",
            "telephone_number": "817-408-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON-SMITH",
        "first_name": "MARY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marlene Thomas, MD
• Scott S Thompson, M.D.
• Sunnye Thompson
• THP Granbury MC, LLC
• Andrew Blake Throne, FNP-BC, APRN
• Alexandra Timmons, APRN, FNP-C
• Timothy W. Dolan DC PA
• Chanel Nicole Tinsley, APRN, FNP-C
• Tomlinson Homecare, L.P.
• Tomlinson Homecare, L.P. Dba Tomlinson Hospice

• Speech-Language Pathologist in Granbury, TX
• Providers in Granbury, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.