Active NPI
Paige Morgan Sullivan-Hvizdos, CF-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1013521277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02168L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02168L | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Local Education Agency (LEA)
- Baltimore, MD
- NPI 1073814059
-
- Local Education Agency (LEA)
- Baltimore, MD
- NPI 1740586205
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.