Mary Ann Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2957 Issued in FL

Practice address

971 Virginia Ave
Suite a
Palm Harbor, FL 34683-5235

Phone

(727) 773-2687

Fax

(727) 773-2742

NPI assigned

Aug 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659488229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 ASHLAND TER",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612001",
            "telephone_number": "727-787-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 VIRGINIA AVE",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835235",
            "telephone_number": "727-773-2687",
            "fax_number": "727-773-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890822200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen T Smith
• Jacqueline Brooke Smith, D.C.
• Joanna Smith, MS, LMHC
• Jonathan Smith
• Lawrence J Smith, APRN-C, DC
• Ryan Alexander Smith, D.C.
• Samantha Smith
• Shannan Nicole Smith, BA, BCABA
• William Patrick Smith, LCSW
• Sneh Gupta MD PA

• Speech-Language Pathologist in Palm Harbor, FL
• Providers in Palm Harbor, 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 Jul 8, 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.