Paige Nicole Affaneh, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11182 Issued in MD

Practice address

2119 Montour Street Ext
Coraopolis, PA 15108-3265

Phone

(412) 403-4766

NPI assigned

Jan 11, 2019

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Paige Nicole Kincaid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Pediatric Therapy Source

  • Speech-Language Pathologist
  • Bridgeville, PA
  • NPI 1942893631
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1285108332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 MONTOUR STREET EXT",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083265",
            "telephone_number": "412-403-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 MONTOUR STREET EXT",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083265",
            "telephone_number": "412-403-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 Radio Station Rd",
            "address_purpose": "LOCATION",
            "city": "LA Plata",
            "state": "MD",
            "postal_code": "206463337",
            "country_code": "US",
            "telephone_number": "301-932-6610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Bursca Dr Ste 804",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "150171451",
            "country_code": "US",
            "telephone_number": "412-408-6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFFANEH",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014623",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "11182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "KINCAID",
            "middle_name": "NICOLE",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.