Mary Elizabeth Mann, CCC/SLP-L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003123 Issued in VA

Practice address

1600 Gordon Ave
Charlottesville, VA 22903-1918

Phone

(434) 293-0753

Fax

(434) 422-7927

NPI assigned

Sep 9, 2024

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 VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Martha Jefferson House

  • Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1093445165

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1689400574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 ANDREW LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019519",
            "telephone_number": "757-651-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GORDON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031918",
            "telephone_number": "434-293-0753",
            "fax_number": "434-422-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "CCC/SLP-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Manis, M.D.
• Allie Mann, PHD
• James A. Mann, M.D.
• Karen Mann
• Kayla Mann
• Simran Kaur Mann, M.D.
• Hannah C. Mannem, M.D.
• Lisa Rene Manners
• Bradley Bowker Manning, MD
• Carol A. Manning, PH.D.

• Speech-Language Pathologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.