Active NPI
Mary Patricia Fitzmaurice, M.S., CAGS, CCC-SLP
- Speech-Language Pathologist
- Derry, NH
National Provider Identifier
1679164438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1105
- Practice address
- 28 S Main St
Derry, NH 03038-2142 - Phone
- (603) 432-1233
- NPI assigned
- Feb 3, 2021
- 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 | 1105 | NH | Primary |
Addresses
Primary practice location
28 S Main St
Derry, NH 03038-2142
Mailing address
28 S Main St
Derry, NH 03038-2142
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfitzmaurice@sau10.org | Direct | |
| Direct Messaging Address | mfitzmaurice@sau10.org | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105 | NH | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1679164438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 S MAIN ST",
"city": "DERRY",
"state": "NH",
"postal_code": "030382142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 S MAIN ST",
"city": "DERRY",
"state": "NH",
"postal_code": "030382142",
"telephone_number": "603-432-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZMAURICE",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "M.S., CAGS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "1105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfitzmaurice@sau10.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "28 S Main St",
"city": "Derry",
"state": "NH",
"country_code": "US",
"postal_code": "030382142",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfitzmaurice@sau10.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "28 S Main St",
"city": "Derry",
"state": "NH",
"country_code": "US",
"postal_code": "030382142",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.