Mary Ann Newcom, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60015392

Practice address

364 S. Park Street
Walla Walla, WA 99362-3293

Phone

(509) 526-1779

Fax

(509) 526-4344

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Walla Walla Public Schools

  • Local Education Agency (LEA)
  • Walla Walla, WA
  • NPI 1124132097
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1982039780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 S. PARK STREET",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623293",
            "telephone_number": "509-526-1779",
            "fax_number": "509-526-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S. PARK STREET",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623293",
            "telephone_number": "509-526-1779",
            "fax_number": "509-526-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOM",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "LL60015392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "LL60015392",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luther Owen Ness, OD
• Krista Neuendorff, OTR/L
• Cassandra Nevshemal, MS
• New Pulse Counseling PLLC
• Scott G Newbold, M.D.
• Megan Renee Freismidl Newcomb, PA-C
• Elliott Newman
• Douglas E Newton, MD
• Benjamin Nichols
• Jazmin Nichols

• Speech-Language Pathologist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.