Active NPI
Mary E Noland, MBA, MA, CCC-SLP
- Speech-Language Pathologist
- Laveen, AZ
National Provider Identifier
1376539676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 2151
- Practice address
- 5205 W Winston Dr
Laveen, AZ 85339-2819 - Phone
- (602) 578-0515
- Fax
- (602) 237-7791
- NPI assigned
- Sep 22, 2005
- 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 | SLP 2151 | AZ | Primary |
Addresses
Primary practice location
5205 W Winston Dr
Laveen, AZ 85339-2819
Mailing address
PO Box 760
Laveen, AZ 85339-0760
Phone (602) 578-0515
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
- Credentials
- Master of Arts, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 2151 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1376539676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853390760",
"telephone_number": "602-578-0515",
"fax_number": "602-237-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 W WINSTON DR",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392819",
"telephone_number": "602-578-0515",
"fax_number": "602-237-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAND",
"first_name": "MARY",
"middle_name": "E",
"credential": "MBA, MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP 2151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.