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Deactivated NPI 1376610394 Deactivated / Inactive NPI Female Practitioner

Mary Elizabeth Smith , MS CCC SLP

Speech-Language Pathologist • Floyd, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date September 24, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Mary Smith, MS CCC SLP was a registered Speech-Language Pathologist practicing in Floyd, NM. Throughout an active medical career spanning 13 years, Mary Smith provided care at the practice location at 1564 NEW MEXICO HWY 267 until profile deactivation on 2019-09-24.

Practice Location & Contact Primary Location

Practice Address

1564 New Mexico Hwy 267
Floyd Municipal Schools

Floyd, NM 88118

Telephone 5054782211
Fax 5054782811

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Floyd, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Floyd, NM (2057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM 766

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 24, 2019

Record deactivated on September 24, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1564 NEW MEXICO HWY 267, FLOYD MUNICIPAL SCHOOLS, FLOYD, NM 88118 (Tel: 5054782211)

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Updated Business Mailing Address July 08, 2007

Registered at 706 NEW MEXICO HWY 236, PORTALES, NM 881309421 (Tel: 5057605359)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY SMITH, MS CCC SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #766 in NM)

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Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376610394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Deactivation Date: September 24, 2019

Mailing Address

706 New Mexico Hwy 236

Portales, NM 881309421

Phone: 5057605359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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