Mary Beth McDermott

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7786 Issued in NC

Practice address

805 Thatcher Way
Raleigh, NC 27615-1233

Phone

(919) 870-9591

Fax

(919) 846-4705

NPI assigned

Oct 3, 2007

Last updated

Oct 3, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Raleigh Therapy Services, Inc

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1790808350
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1811184807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 THATCHER WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151233",
            "telephone_number": "919-870-9591",
            "fax_number": "919-856-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 THATCHER WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151233",
            "telephone_number": "919-870-9591",
            "fax_number": "919-846-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7786-SLP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelby Lomax McDaniel, DNP, A-GNP-C
• Madeline Paige McDaniel
• Taylor Nicole McDaniel
• William Jason McDaniel III, D.D.S.
• Christopher N McDaniels, MD
• Amanda McDonald, PHARMD
• Cary C McDonald, MD
• Christian McDonald
• Christine McDonald, LPCS
• Deanna K McDonald, PTA

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.