Angelia D Quinn, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004361A Issued in IN

Practice address

9210 Backwater Dr
Indianapolis, IN 46250-4133

Phone

(317) 578-0121

Fax

(317) 578-0856

NPI assigned

Feb 22, 2007

Last updated

Feb 23, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Therapy Group, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1164566360
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1235264045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 BACKWATER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504133",
            "telephone_number": "317-578-0121",
            "fax_number": "317-578-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 BACKWATER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504133",
            "telephone_number": "317-578-0121",
            "fax_number": "317-578-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ANGELIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Neil Quigley
• Quikpro Medical LLC
• Thomas E. Quill, DDS
• Jeanie Quiming
• Amanda N Quinlivan, OT
• Brian Joseph Quinn, MD
• Daelyn Marie Quinn
• Danielle Quinn, PSYD, LMHC, CSAYC
• Karen Quinn, PT
• Makenzie Noelle Quinn, LMHCA, ATR-P

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.