Mary Ashley Roberts, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5535 Issued in AL

Practice address

14060 S Wintzell Ave Ste a
Bayou la Batre, AL 36509-2466

Phone

(251) 289-1845

NPI assigned

Feb 4, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1811701329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 BEVERLY RD APT B",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365442741",
            "telephone_number": "251-472-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14060 S WINTZELL AVE STE A",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092466",
            "telephone_number": "251-289-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARY",
        "middle_name": "ASHLEY",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley E Jongebloed, MD
• Chelsea McCormick
• Modern Drug of Bayou la Batre Inc
• Adam McCay Moore, PHARMD
• Samantha N Pettaway
• RX Express Pharmacy of Bayou la Batre, Inc.
• Staci L. Shipman, PHARMD
• Joseph Hunter Steiner
• Meghan Elizabeth Stinnette Elmore
• Carrie F. Tombrello, DMD

• Speech-Language Pathologist in Bayou la Batre, AL
• Providers in Bayou la Batre, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.