Individual provider Active NPI

Mary Yarbrough, SLP

  • Speech-Language Pathologist
  • The Woodlands, TX
National Provider Identifier
1750401535
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102643 Issued in TX
Practice address
4840 W Panther Creek Dr
The Woodlands, TX 77381-3527
Phone
(281) 681-3020
NPI assigned
Mar 29, 2007
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 102643 TX Primary

Addresses

Primary practice location

4840 W Panther Creek Dr
The Woodlands, TX 77381-3527

Mailing address

4840 W Panther Creek Dr Ste 206
Spring, TX 77381-3542
Phone (281) 681-3020

Other practice location 1

11920 Walters Rd
Houston, TX 77067-1956
Phone (281) 397-4024 ext. 4024

Other identifiers 1

IdentifierTypeStateIssuer
146572602MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
102643TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Pediatric Therapy and Rehab Inc PastSince Mar 29, 2020 Accepting new patients
Harris County Department of Education Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1750401535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR STE 206",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773813542",
            "telephone_number": "281-681-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "281-681-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 Walters Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770671956",
            "country_code": "US",
            "telephone_number": "281-397-4024 x4024",
            "fax_number": "281-397-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "MARY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146572602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.