Individual provider Active NPI

Paige Morgan Sullivan-Hvizdos, CF-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1013521277
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02168L Issued in MD
Practice address
2900 Barclay St
Baltimore, MD 21218-4117
Phone
(609) 332-9136
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 02168L MD Primary

Addresses

Primary practice location

2900 Barclay St
Baltimore, MD 21218-4117

Mailing address

2900 Barclay St
Baltimore, MD 21218-4117

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BCPS Direct Baltimore City Public Schools

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

State licenses

LicenseStateTypeSpecialty
02168LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore City Public Schools Past Accepting new patients
Baltimore City Schools Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013521277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BARCLAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BARCLAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184117",
            "telephone_number": "609-332-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-HVIZDOS",
        "first_name": "PAIGE",
        "middle_name": "MORGAN",
        "name_prefix": "Miss",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02168L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BCPS",
            "affiliation": "Y",
            "endpointDescription": "Third party billing",
            "affiliationName": "Baltimore City Public Schools",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 E North Ave",
            "address_2": "Third Party Billing Room 318",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212025910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.