Mary M H Bonnett, MSC-SLP, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP0000003471 Issued in TN

Practice address

6605 N Quail Hollow Rd
Memphis, TN 38120-1323

Phone

(901) 758-0180

Fax

(901) 758-0180

NPI assigned

Jan 13, 2012

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 M Holland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1477824993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEW KING ST",
            "address_2": "SUITE 105",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106041205",
            "telephone_number": "914-390-9880",
            "fax_number": "914-390-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N QUAIL HOLLOW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201323",
            "telephone_number": "901-758-0180",
            "fax_number": "901-758-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "MARY",
        "middle_name": "M H",
        "credential": "MSC-SLP, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HOLLAND",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrianne Bonner, RDMS
• Amber Bonner, MS, CCC-SLP
• Bryon Emil Bonner
• Charlene Bonner, FNP-C, PMHNP-BC
• Natasha Bonner, LPC, NCC
• Shannon Bontemps
• Blythe Booker, NP
• Tracee L Booker, PHARMD
• Zorana J. Booker, PHARMD
• Judith S Bookman, LCSW

• Speech-Language Pathologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.