Individual provider Active NPI

Mary Kristi Plattner

  • Speech-Language Pathologist
  • Port Isabel, TX
National Provider Identifier
1487846713
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100459 Issued in TX
Practice address
1200 Hwy 100 Ste 9
Port Isabel, TX 78578-2450
Phone
(956) 943-2248
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100459 TX Primary

Addresses

Primary practice location

1200 Hwy 100 Ste 9
Port Isabel, TX 78578-2450

Mailing address

225 Mesquite Dr
Laguna Vista, TX 78578-2708

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

LicenseStateTypeSpecialty
100459TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Madre Rehabilitation Center Past Accepting new patients
Laguna Madre Rehabilitation Center Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1487846713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MESQUITE DR",
            "city": "LAGUNA VISTA",
            "state": "TX",
            "postal_code": "785782708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HWY 100 STE 9",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782450",
            "telephone_number": "956-943-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATTNER",
        "first_name": "MARY",
        "middle_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.