Active NPI
Patti Jane Caudill, CCC-SLP
- Speech-Language Pathologist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 04786
- Practice address
- 6569 N Charles St Ste 401
Baltimore, MD 21204-5834 - Phone
- (443) 849-2087
- Fax
- (443) 849-2649
- NPI assigned
- Jan 10, 2011
- Last updated
- Aug 27, 2021
- 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 | 04786 | MD | Primary |
Addresses
Primary practice location
6569 N Charles St Ste 401
Baltimore, MD 21204-5834
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other names 1
- Patti Bailey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04786 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| State of Maryland Central Payroll Bureau | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Comptroller of Maryland Central Payroll Bureau | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients |
Locations
1 Olympic Pl
Ste 200
Towson, MD 21204
Phone (410) 704-3095
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
6569 N Charles St
Ste 401
Towson, MD 21204
Phone (443) 849-2087
6701 N Charles St
Ste 102
Towson, MD 21204
Phone (443) 849-2459
8000 York Rd
Towson, MD 21252
Phone (410) 704-2000
Organizations & group practices 5
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.
-
dba Towson University Hearing & Balance Center
- Audiologist
- Towson, MD
- NPI 1871609545
-
dba GBMC Dept of OBGYN, L&D
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
dba Richard E. Hoover Low Vision Rehabilitation Services
- Ophthalmology Physician
- Baltimore, MD
- NPI 1164675906
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
-
dba Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families
- Skilled Nursing Facility
- Charlotte Hall, MD
- NPI 1356032734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1285938902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6569 N CHARLES ST STE 401",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212045834",
"telephone_number": "443-849-2087",
"fax_number": "443-849-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "PATTI",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "04786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATTI",
"last_name": "BAILEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.