Individual provider Active NPI

Marri Harris, MS, CCC-SLP

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1871989756
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8552 Issued in NC
Practice address
1425 E Fire Tower Rd Unit 104
Greenville, NC 27858-4131
Phone
(252) 355-5535
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 8552 NC Primary

Addresses

Primary practice location

1425 E Fire Tower Rd Unit 104
Greenville, NC 27858-4131

Mailing address

1728 Sparrow Hawk LN
Rocky Mount, NC 27804-9278
Phone (918) 232-0037

Other names 1

  • Marri Wallace Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
8552NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
J.Z. Mann Pediatric Therapy, Inc. Speech-Language Pathologist Past Accepting new patients
Pro Step Therapy Inc Past Accepting new patients
Venture Rehabilitation Group Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1871989756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SPARROW HAWK LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049278",
            "telephone_number": "918-232-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E FIRE TOWER RD UNIT 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584131",
            "telephone_number": "252-355-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARRI",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARRI",
            "last_name": "WALLACE",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.