Mary Elizabeth Bishop, M.ED., CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10766 Issued in NC

Practice address

1467 Vacation Way
Millers Creek, NC 28651-8188

Phone

(919) 920-9884

Fax

(855) 854-4447

NPI assigned

Mar 14, 2006

Last updated

Dec 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Engineering, Master of Education

State licenses

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.

• Auntie Ms Speech Services LLC

  • Speech-Language Pathologist
  • Goldsboro, NC
  • NPI 1003055351
  Authorized official Same address or phone

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1417926320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 VACATION WAY",
            "city": "MILLERS CREEK",
            "state": "NC",
            "postal_code": "286518188",
            "telephone_number": "919-920-9884",
            "fax_number": "855-854-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 VACATION WAY",
            "city": "MILLERS CREEK",
            "state": "NC",
            "postal_code": "286518188",
            "telephone_number": "919-920-9884",
            "fax_number": "855-854-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "01070846",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001417",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38478331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foothills Pharmacy Inc (Millers Creek Pharmacy)
• Laken Harrold, LCSWA
• Tara Sanders Quinn, PHARMD
• Marla Kathleen Smola
• Tas Transportation LLC

• Speech-Language Pathologist in Millers Creek, NC
• Providers in Millers Creek, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.