Mary Elizabeth Avery, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3806 Issued in KY

Practice address

6317 Highway 329
Crestwood, KY 40014-9040

Phone

(502) 384-0910

NPI assigned

Sep 15, 2010

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Beth Russell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascb Therapy LLC

  • Speech-Language Pathologist
  • La Grange, KY
  • NPI 1508277864
  NPD (past)
• Julie Murray Inc/Chatter Box

  • Developmentally Disabled Services Day Training Agency
  • Crestwood, KY
  • NPI 1730372954
  NPD (past)
• The Chatter Box LLC

  • Speech-Language Pathologist
  • Crestwood, KY
  • NPI 1811197247
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1386952166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 TIMOTHY WAY",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149161",
            "telephone_number": "502-797-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 HIGHWAY 329",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149040",
            "telephone_number": "502-384-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4603 Timberwalk Ct",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400316746",
            "country_code": "US",
            "telephone_number": "703-575-8129",
            "fax_number": "888-830-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "RUSSELL",
            "credential": "MS, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Apple Patch Community, Inc. (Apple Patch)
• Abigail Head Asfahl, LPCA
• Katarina Maria Ashburn, RD
• Associates in Pediatric Therapy, LLC
• Jonathan S Austin, DO
• Emily Catherine Bald, P.T.
• Tina Marie Baldwin, OTR
• Ann Banton, SLP
• Baryeh Homecare Solutions
• Baryeh Homecare Solutions LLC

• Speech-Language Pathologist in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.