Mary K Tiernan, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5207 Issued in MA

Practice address

5 N Meadows Rd
Speech-Language & Hearing Associates
Medfield, MA 02052-2317

Phone

(508) 359-4532

Fax

(508) 359-0198

NPI assigned

Nov 10, 2012

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352505600000",
    "number": "1942544176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "address_2": "SPEECH-LANGUAGE & HEARING ASSOCIATES",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "address_2": "SPEECH-LANGUAGE & HEARING ASSOCIATES",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-10",
        "last_updated": "2012-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1942270574",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M21875",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian R Thomas, D.D.S.
• Jacqueline Ann Thomas, LICSW
• Richard K Thomas, D.D.S.
• Meghan A. Thomson, M.S., CCC-SP
• Tiane Jennings, Licsw, PLLC
• Town of Medfield
• Town of Medfield
• Town of Medfield
• Samantha Tremlett
• Susan Tribe, B.S.

• Speech-Language Pathologist in Medfield, MA
• Providers in Medfield, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.