Individual provider Active NPI

Atousa Parsarad-Nagas, M.A.,CCC,SLP

  • Speech-Language Pathologist
  • New Castle, DE
National Provider Identifier
1316004328
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05860 Issued in MD
Practice address
61 Corporate Cir
New Castle, DE 19720-2439
Phone
(302) 324-4444
Fax
(302) 324-4441
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05860 MD Primary

Addresses

Primary practice location

61 Corporate Cir
New Castle, DE 19720-2439

Mailing address

12 42ND St
Unit 502
Ocean City, MD 21842-6892
Phone (407) 739-2630

Other identifiers 1

IdentifierTypeStateIssuer
891279300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240516000627 MD Practitioner - Qualified Speech Language Pathologist 1850732215 Reassigns benefits to 1 organization
I20240524001008 CA Practitioner - Qualified Speech Language Pathologist 1850732215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
05860MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jun 17, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jun 17, 2024 Accepting new patients
Easter Seals Delaware & Marylands Eastern Shore, Inc Speech-Language Pathologist PastSince Sep 4, 2022 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

1997 Annapolis Exchange Pkwy
Ste 300
Annapolis, MD 21401
Phone (410) 261-6439

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1316004328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 42ND ST",
            "address_2": "UNIT 502",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218426892",
            "telephone_number": "407-739-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CORPORATE CIR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202439",
            "telephone_number": "302-324-4444",
            "fax_number": "302-324-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSARAD-NAGAS",
        "first_name": "ATOUSA",
        "name_prefix": "Ms.",
        "credential": "M.A.,CCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891279300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.

Verify at the official NPI Registry.