Individual provider Active NPI

Mary Vesel, CCC-SLP

  • Speech-Language Pathologist
  • Marietta, OH
National Provider Identifier
1760624647
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.4778 Issued in OH
Practice address
5001 State Route 60
Marietta, OH 45750-5343
Phone
(740) 373-8920
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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 SP.4778 OH Primary

Addresses

Primary practice location

5001 State Route 60
Marietta, OH 45750-5343

Mailing address

5001 State RT 60
Heartland of Marietta
Marietta, OH 45750
Phone (740) 373-8920

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.4778OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie L Cooke LLC Speech-Language Pathologist CurrentSince Jan 1, 2024 Accepting new patients
Riverview Health Clinic, PLLC PastSince Jan 1, 2024 Accepting new patients

Locations

915 Emerson Ave
Parkersburg, WV 26104
Phone (304) 295-7290

1605 Grand Central Ave
Vienna, WV 26105
Phone (304) 295-5505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1760624647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 STATE RT 60",
            "address_2": "HEARTLAND OF MARIETTA",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-373-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 STATE ROUTE 60",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505343",
            "telephone_number": "740-373-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESEL",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.4778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.