Active NPI
Suzanne Mary McGregor, SLP
- Speech-Language Pathologist
- Daytona Beach, FL
National Provider Identifier
1538607718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 14234
- Practice address
- 328 Wentworth Ave
Daytona Beach, FL 32124-2060 - Phone
- (973) 903-1377
- Fax
- (386) 366-7456
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 14234 | FL | Primary |
Addresses
Primary practice location
328 Wentworth Ave
Daytona Beach, FL 32124-2060
Mailing address
328 Wentworth Ave
Daytona Beach, FL 32124-2060
Phone (973) 903-1377
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 |
|---|---|---|---|
| SA 14234 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1538607718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 WENTWORTH AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321242060",
"telephone_number": "973-903-1377",
"fax_number": "386-366-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 WENTWORTH AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321242060",
"telephone_number": "973-903-1377",
"fax_number": "386-366-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREGOR",
"first_name": "SUZANNE",
"middle_name": "MARY",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 14234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.