Individual provider Active NPI

Patricia Mary Marchetti Smith, MS CCC

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1972790533
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0081107502 Issued in MD
Practice address
2709 Woodsdale Avenue
Baltimore, MD 21214
Phone
(443) 629-3837
Fax
(410) 288-4480
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0081107502 MD Primary
Speech-Language Pathologist 235Z00000X 00841 MD

Addresses

Primary practice location

2709 Woodsdale Avenue
Baltimore, MD 21214

Mailing address

2709 Woodsdale Avenue
Baltimore, MD 21214
Phone (443) 629-3837

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
0081107502MDMDSpeech-Language Pathologist
00841MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1972790533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 WOODSDALE AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "443-629-3837",
            "fax_number": "410-288-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 WOODSDALE AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "443-629-3837",
            "fax_number": "410-288-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI SMITH",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MS CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "0081107502",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "00841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.