Paige Lee Gardner, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

02563 Issued in MD

Practice address

101 Clarke PL
Frederick, MD 21701-6529

Phone

(301) 360-2045

NPI assigned

Dec 18, 2018

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 and National Provider Directory roles.

• State of Maryland

  • Local Education Agency (LEA)
  • Frederick, MD
  • NPI 1053531376
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1275005175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 SLATE CT",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697415",
            "telephone_number": "301-675-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLARKE PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016529",
            "telephone_number": "301-360-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7008 Slate Ct",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "MD",
            "postal_code": "217697415",
            "country_code": "US",
            "telephone_number": "301-675-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "PAIGE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jie Gao, M.D.
• Jenny Garcia Castaneda, MD, MPH
• Javier Garcia
• Jeannette Garcia, NP
• Daniel James Gardner, MPT
• Seth Gardner, SLP
• Ishan Garg, DO
• Alexis Pearl Garguilo, M.S., CCC-SLP
• Amanda Garner, LCSW-C
• Regine Garrett

• Speech-Language Pathologist in Frederick, MD
• Providers in Frederick, 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 Dec 18, 2018; 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.