Penney Mathes, MS., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013351 Issued in OR

Practice address

150 SW 25TH St
Redmond, OR 97756-2571

Phone

(541) 526-0882

NPI assigned

May 27, 2024

Last updated

May 27, 2024By 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

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1861232084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19571 E CAMPBELL RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023264",
            "telephone_number": "541-639-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 25TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562571",
            "telephone_number": "541-526-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHES",
        "first_name": "PENNEY",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "013351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Maloney, LCSW
• Laura Mann, PT, DPT, OCS
• Mark S Keener DMD P.C.
• Ann L Martin, LCSW
• Levi Jeh Martin, PHARM.D.
• Lisa Darlene Mathis, BS, QMHP, MSW STUDEN
• Stephanie Mathis
• Melissa Matson
• Mark Matthews, QMHA
• Michael Douglas Mattson

• Speech-Language Pathologist in Redmond, OR
• Providers in Redmond, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.