Active NPI
Mary Beth Bond, SLP
- Speech-Language Pathologist
- Winter Garden, FL
National Provider Identifier
1548455249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004445
- Practice address
- 1002 S Dillard St
Suite 106
Winter Garden, FL 34787-3991 - Phone
- (407) 905-8908
- Fax
- (407) 905-8958
- NPI assigned
- Sep 6, 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 | SLP004445 | GA | Primary |
Addresses
Primary practice location
1002 S Dillard St
Suite 106
Winter Garden, FL 34787-3991
Mailing address
498 W Montrose St
Clermont, FL 34711-2259
Phone (770) 597-4108
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 |
|---|---|---|---|
| SLP004445 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1548455249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 W MONTROSE ST",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112259",
"telephone_number": "770-597-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S DILLARD ST",
"address_2": "SUITE 106",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873991",
"telephone_number": "407-905-8908",
"fax_number": "407-905-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "MARY",
"middle_name": "BETH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.