Active NPI
Glinda Mauldin
- Speech-Language Pathologist
- Pinson, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3045
- Practice address
- 6209 Windsor LN
Pinson, AL 35126-3490 - Phone
- (501) 697-1622
- NPI assigned
- May 15, 2007
- Last updated
- Feb 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA8818 | FL | |
| Speech-Language Pathologist | 235Z00000X | 3045 | AL | Primary |
Addresses
Primary practice location
6209 Windsor LN
Pinson, AL 35126-3490
Mailing address
6209 Windsor LN
Pinson, AL 35126-3490
Phone (501) 697-1622
Other practice location 1
611 S 13th St
Fort Pierce, FL 34950-4054
Phone (407) 748-4771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
529 Beacon Pkwy W
Suite 101
Birmingham, AL 35209-3126
Phone (205) 444-2294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3045 | AL | MD | Internal Medicine Physician |
| SA8818 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anointed by Grace Designs, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
529 Beacon Pkwy W
Ste 101
Birmingham, AL 35209
Phone (205) 440-2294
Organizations & group practices 1
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 A by G Therapy and Consulting Services
- Speech-Language Pathologist
- Birmingham, AL
- NPI 1467085852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1447466370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6209 WINDSOR LN",
"city": "PINSON",
"state": "AL",
"postal_code": "351263490",
"telephone_number": "501-697-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6209 WINDSOR LN",
"city": "PINSON",
"state": "AL",
"postal_code": "351263490",
"telephone_number": "501-697-1622"
}
],
"practiceLocations": [
{
"address_1": "611 S 13th St",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504054",
"country_code": "US",
"telephone_number": "407-748-4771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAULDIN",
"first_name": "GLINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8818",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinson, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.