Mary Walker, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16990 Issued in FL

Practice address

Legacy Healthcare / Heritage Oaks of Englewood
7374 San Casa Dr
Englewood, FL 34224-8842

Phone

(941) 698-2620

NPI assigned

May 3, 2022

Last updated

May 3, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1649915661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24185 SPARTINA DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932789",
            "telephone_number": "585-278-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEGACY HEALTHCARE / HERITAGE OAKS OF ENGLEWOOD",
            "address_2": "7374 SAN CASA DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248842",
            "telephone_number": "941-698-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Wadsworth
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1874)
• Wal-Mart Stores East, LP (Vision Center 30-1874)
• Walgreen Co (Walgreens #05859)
• Walgreen Co (Walgreens #07496)
• Alona Wallace, APRN
• Elizabeth Ashley Walters
• Thomas G Washburn Jr., AP, LMT
• Roseanne Weaver, M.A.
• Weerasooriya & Weerasooriya, DMD, PA

• Speech-Language Pathologist in Englewood, FL
• Providers in Englewood, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.