Active NPI
Marylynn Iwanowski
- Speech-Language Pathologist
- Elizabeth City, NC
National Provider Identifier
1659292829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30005520
- Practice address
- 105 Commercial Blvd Ste E
Elizabeth City, NC 27909-8966 - Phone
- (252) 384-2680
- NPI assigned
- Jul 23, 2026
- Sex
- Unspecified or another gender identity
- 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 | 30005520 | NC | Primary |
Addresses
Primary practice location
105 Commercial Blvd Ste E
Elizabeth City, NC 27909-8966
Mailing address
118 Camp Cale Rd
Hertford, NC 27944-9026
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1659292829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CAMP CALE RD",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279449026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 COMMERCIAL BLVD STE E",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279098966",
"telephone_number": "252-384-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWANOWSKI",
"first_name": "MARYLYNN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30005520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.