Individual provider Active NPI

Mary Lane Critchfield Schultz, BS, MS, CCC-SLP

  • Speech-Language Pathologist
  • Chelan, WA
National Provider Identifier
1861746695
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 00001864 Issued in WA
Practice address
407 East Woodin Ave.
Chelan, WA 98816-9648
Phone
(509) 682-4031
Fax
(509) 682-8291
NPI assigned
Oct 31, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 LL 00001864 WA Primary

Addresses

Primary practice location

407 East Woodin Ave.
Chelan, WA 98816-9648

Mailing address

407 East Woodin Ave.
Chelan, WA 98816-9648
Phone (509) 682-4031

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
LL 00001864WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1861746695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST WOODIN AVE.",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169648",
            "telephone_number": "509-682-4031",
            "fax_number": "509-682-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST WOODIN AVE.",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169648",
            "telephone_number": "509-682-4031",
            "fax_number": "509-682-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHFIELD SCHULTZ",
        "first_name": "MARY",
        "middle_name": "LANE",
        "credential": "BS, MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00001864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.