Active NPI
Angela Abdelmasih Bailey, SLP
- Speech-Language Pathologist
- Overland Park, KS
National Provider Identifier
1013293448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202006459
- Practice address
- 6701 W 121St St Ste 102
Overland Park, KS 66209 - Phone
- (913) 213-3886
- Fax
- (913) 320-2259
- NPI assigned
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4281 | KS | |
| Speech-Language Pathologist | 235Z00000X | 2202006459 | VA | Primary |
Addresses
Primary practice location
6701 W 121St St Ste 102
Overland Park, KS 66209
Mailing address
6701 W 121St St Ste 102
Overland Park, KS 66209-2003
Phone (703) 220-0911
Other practice location 1
4315 Chain Bridge Rd
Fairfax, VA 22030-3061
Phone (703) 934-5000
Other practice location 2
700 W Broad St
Falls Church, VA 22046-3219
Phone (703) 940-3178
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202006459 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1013293448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 W 121ST ST STE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092003",
"telephone_number": "703-220-0911",
"fax_number": "913-320-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 W 121ST ST STE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-213-3886",
"fax_number": "913-320-2259"
}
],
"practiceLocations": [
{
"address_1": "4315 Chain Bridge Rd",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220303061",
"country_code": "US",
"telephone_number": "703-934-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 W Broad St",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220463219",
"country_code": "US",
"telephone_number": "703-940-3178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "ANGELA",
"middle_name": "ABDELMASIH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "4281",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.