Individual provider Active NPI

Amelie Bail, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1093187387
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07430 Issued in MD
Practice address
1627 Carriage House Ter
Apt I
Silver Spring, MD 20904-2289
Phone
(978) 235-3864
NPI assigned
Oct 26, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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 07430 MD Primary

Addresses

Primary practice location

1627 Carriage House Ter
Apt I
Silver Spring, MD 20904-2289

Mailing address

1627 Carriage House Ter
Apt I
Silver Spring, MD 20904-2289
Phone (978) 235-3864

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 Arts

State licenses

LicenseStateTypeSpecialty
07430MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1093187387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 CARRIAGE HOUSE TER",
            "address_2": "APT I",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042289",
            "telephone_number": "978-235-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 CARRIAGE HOUSE TER",
            "address_2": "APT I",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042289",
            "telephone_number": "978-235-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIL",
        "first_name": "AMELIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.