Active NPI
Peggy Mathewson, SLP
- Speech-Language Pathologist
- Santa Cruz, CA
National Provider Identifier
1447461918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 5157
- Practice address
- 777 Monterey St
Santa Cruz, CA 95060 - Phone
- (831) 425-5497
- NPI assigned
- May 25, 2007
- 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 | SP 5157 | CA | Primary |
Addresses
Primary practice location
777 Monterey St
Santa Cruz, CA 95060
Mailing address
777 Monterey St
Santa Cruz, CA 95060
Phone (831) 425-5497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP 5157 | Other | CA | SPEECH LANGUAGE PATHOLOGI |
Other names 1
- Mrs. Peggy Crews
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 |
|---|---|---|---|
| SP 5157 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447461918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 MONTEREY ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "831-425-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 MONTEREY ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "831-425-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWSON",
"first_name": "PEGGY",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 5157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGI",
"identifier": "SP 5157",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "CREWS",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.