Angelina Pope Eastlee, MA CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07184 Issued in MD

Practice address

2644 Riva Rd
Annapolis, MD 21401-7427

Phone

(410) 222-5000

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Angelina Pope Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1124178215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017427",
            "telephone_number": "410-222-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017427",
            "telephone_number": "410-222-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTLEE",
        "first_name": "ANGELINA",
        "middle_name": "POPE",
        "name_prefix": "Ms.",
        "credential": "MA CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "POPE",
            "middle_name": "ANGELINA",
            "credential": "MA CCCSLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• E & G Allied Home Care Agency LLC
• E.L. Chambers P.a.
• Dylan Ashleigh Eader
• Renee Easter
• Wendy Easterling
• Mark E Eaton, M.D.
• Benjamin Karl Ebert, PA-C
• Lauren Ebling
• Elnaz Ebrahimihoor, MD
• Timothy S. Eckel, M.D.

• Speech-Language Pathologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.