Angel Z. Washington, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006402 Issued in GA

Practice address

3100 Highgreen TRL
Atlanta, GA 30349-7992

Phone

(404) 550-4058

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Angel Zanetta Wilborn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1275734006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 HIGHGREEN TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497992",
            "telephone_number": "404-550-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HIGHGREEN TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497992",
            "telephone_number": "404-550-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ANGEL",
        "middle_name": "Z.",
        "name_prefix": "Mrs.",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884199412A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "WILBORN",
            "middle_name": "ZANETTA",
            "prefix": "MS.",
            "credential": "M.ED.,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Washburne Dialysis LLC
• Selena Washcage, RDH
• Tonia Washington Hoskins, PHD, LCSW
• Akiscia Washington, LMT
• Alexis Washington
• Cherae Washington, RDN
• Colin Washington
• Darius Marquin Washington, LAPC
• Debriana Washington
• Devante Rae Washington, ED. S.

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.