Individual provider Active NPI

Angela Warlick, MS,CCC-SLP

  • Speech-Language Pathologist
  • Calhoun, GA
National Provider Identifier
1073808481
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007512 Issued in GA
Practice address
365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone
(706) 624-3000
Fax
(706) 624-3001
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP007512 GA Primary

Addresses

Primary practice location

365 S Industrial Blvd
Calhoun, GA 30701-3075

Mailing address

365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone (706) 624-3000

Other names 1

  • Angela Kendrick Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP007512GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation for Kids of Gordon County, Inc Past Accepting new patients

Organizations & group practices 1

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1073808481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S INDUSTRIAL BLVD",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013075",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S INDUSTRIAL BLVD",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013075",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARLICK",
        "first_name": "ANGELA",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KENDRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.