Raegan Maikel Parker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1179 Hammond LN
Odenton, MD 21113-2015

Phone

(410) 674-6900

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1457179657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SKIPJACK CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 HAMMOND LN",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132015",
            "telephone_number": "410-674-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Davidsonville Rd",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541923",
            "country_code": "US",
            "telephone_number": "410-793-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RAEGAN",
        "middle_name": "MAIKEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Paige
• Pama LLC
• Vidya Parawati, MOTR/L
• Michaela Pariso, LMSW
• Sun Kun Park, DMD
• Tracy Mitchell Parker, CCC-SLP
• Patient First Maryland Medical Group (Patient First Odenton)
• Patient First Maryland Medical Group PLLC (Patient First - Odenton)
• Thomas Joseph Patota, LICSW
• Scott Anthony Peck, PSYD

• Speech-Language Pathologist in Odenton, MD
• Providers in Odenton, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.