Active NPI
Mary Grace Parks
- Speech-Language Pathologist
- Metairie, LA
National Provider Identifier
1770411340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9903
- Practice address
- 671 Rosa Ave
Metairie, LA 70005-2843 - Phone
- (850) 572-5776
- NPI assigned
- May 12, 2026
- 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 | 9903 | LA | Primary |
Addresses
Primary practice location
671 Rosa Ave
Metairie, LA 70005-2843
Mailing address
269 Hollywood Dr
Metairie, LA 70005-3919
Phone (504) 875-6735
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9903 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1770411340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 HOLLYWOOD DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700053919",
"telephone_number": "504-875-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 ROSA AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052843",
"telephone_number": "850-572-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "MARY",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-12",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "9903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.