Individual provider Active NPI

Meredith Bailets

  • Speech-Language Pathologist
  • Camp Hill, PA
National Provider Identifier
1568063121
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014919 Issued in PA
Practice address
115 S Saint Johns Dr
Camp Hill, PA 17011-4147
Phone
(717) 761-4754
Fax
(717) 370-6315
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 SL014919 PA Primary

Addresses

Primary practice location

115 S Saint Johns Dr
Camp Hill, PA 17011-4147

Mailing address

115 S Saint Johns Dr
Camp Hill, PA 17011-4147
Phone (717) 761-4754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL014919PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Counseling Services Speech-Language Pathologist CurrentSince Nov 8, 2020 Accepting new patients

Locations

115 S Saint Johns Dr
Camp Hill, PA 17011
Phone (717) 303-2088

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1568063121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S SAINT JOHNS DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114147",
            "telephone_number": "717-761-4754",
            "fax_number": "717-370-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SAINT JOHNS DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114147",
            "telephone_number": "717-761-4754",
            "fax_number": "717-370-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILETS",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.