MARY BETH HETHERTON (NPI# 1427028976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427028976 |
| Entity Type | Individual |
| Full Name | MARY BETH HETHERTON |
| Credential | CCC-SLP |
| Practice Address |
40 Holland St Somerville MA 02144-2705 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6176296220 |
| Mailing Telephone | 6175598051 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3243 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CIGNA | B501027 | 01 |
| MA | 0333182 | 05 | |
| MA | NEIGHBORHOOD HEALTH PLAN | 0022118 | 01 |
| MA | TUFTS HEALTH PLAN | 908317 | 01 |
| MA | HARVARD PILGRIM | HV0002 | 01 |
| MA | BLUE CROSS | SP0146 | 01 |
| Street Address |
40 HOLLAND ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268360 | Karen Elline Newbold | Pediatrics | 40 Holland St, Somerville, MA 02144-2705 | 2005-07-14 |
| 1366922460 | Lisa Ruggiero | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2018-08-17 |
| 1679072607 | James Gillan | Physical Therapist | 40 Holland St, Somerville, MA 02144-2705 | 2018-02-05 |
| 1114450459 | Ariela M Borkan | Midwife | 40 Holland St, Somerville, MA 02144-2705 | 2017-04-04 |
| 1740711506 | David Mccarthy | Family Medicine | 40 Holland St, Somerville, MA 02144-2705 | 2017-03-23 |
| 1336695303 | Nicole Douglas | Counselor | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-30 |
| 1548716996 | Katherine Aurigemma | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-26 |
| 1932552478 | Jordan Moore | Social Worker | 40 Holland St, Somerville, MA 02144-2705 | 2016-07-20 |
| 1255788600 | Whitney Hollands | Pharmacist | 40 Holland St, Somerville, MA 02144-2705 | 2016-05-16 |
| 1265888192 | Yi Liu | Physical Therapist | 40 Holland St, Somerville, MA 02144-2705 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616042 | Elizabeth Varall | Speech-Language Pathologist | 21 E High St Ste 2, Somerville, NJ 08876-2320 | 2020-10-12 |
| 1821605221 | Allison Reid | Speech-Language Pathologist | 15 Quincy St Apt 6, Somerville, MA 02143-1751 | 2020-09-29 |
| 1801400296 | Sabrina Elizabeth Rose | Speech-Language Pathologist | 43 Kent St Apt 3, Somerville, MA 02143-3771 | 2020-09-02 |
| 1164035630 | Madeline Pennebaker | Speech-Language Pathologist | 16 Buckingham St Apt 2, Somerville, MA 02143-4313 | 2020-08-25 |
| 1730728999 | Christine Paige Robbins | Speech-Language Pathologist | 21 E High St, 2nd Floor, Somerville, NJ 08876 | 2020-01-04 |
| 1174081624 | Jillian Rizzuto | Speech-Language Pathologist | 3 Quincy St Apt 5, Somerville, MA 02143-1747 | 2019-03-04 |
| 1124555040 | Kristin Lynn Gianfalla | Speech-Language Pathologist | 14 Lincoln Pkwy Apt 3, Somerville, MA 02143-3923 | 2017-05-23 |
| 1659823904 | Kathryn Egan | Speech-Language Pathologist | 47 Cedar St Apt 3, Somerville, MA 02143-2240 | 2016-11-02 |
| 1932562378 | Serena Yure | Speech-Language Pathologist | 192 Willow Ave, Apt. 3, Somerville, MA 02144-2326 | 2016-04-02 |
| 1780067462 | Kayla Dowd | Speech-Language Pathologist | 259 Summer St, Apt. 7, Somerville, MA 02143-2226 | 2015-06-30 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.