Active NPI
Brittany Fails
- Speech-Language Pathologist
- Nottingham, MD
National Provider Identifier
1174988273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07945
- Practice address
- 4155 Glen Park Rd
Nottingham, MD 21236-1019 - Phone
- (410) 529-0348
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 07945 | MD | Primary |
Addresses
Primary practice location
4155 Glen Park Rd
Nottingham, MD 21236-1019
Mailing address
10201 Grand Central Ave
Apt. 507
Owings Mills, MD 21117-3994
Phone (540) 905-3851
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07945 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1174988273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 GRAND CENTRAL AVE",
"address_2": "APT. 507",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173994",
"telephone_number": "540-905-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 GLEN PARK RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361019",
"telephone_number": "410-529-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILS",
"first_name": "BRITTANY",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.