Active NPI
Abigail Widmer, SLP
- Speech-Language Pathologist
- Severna Park, MD
National Provider Identifier
1407767361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10984
- Practice address
- 310 Genesis Way
Severna Park, MD 21146-1762 - Phone
- (443) 604-4636
- NPI assigned
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 10984 | MD | Primary |
Addresses
Primary practice location
310 Genesis Way
Severna Park, MD 21146-1762
Mailing address
310 Genesis Way
Severna Park, MD 21146-1762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1407767361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 GENESIS WAY",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211461762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 GENESIS WAY",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211461762",
"telephone_number": "443-604-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDMER",
"first_name": "ABIGAIL",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "10984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.