Individual provider Active NPI

Jolie Farnum Badley, MSC, CCC

  • Speech-Language Pathologist
  • Gaithersburg, MD
National Provider Identifier
1619686136
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10277 Issued in MD
Practice address
800 S Frederick Ave Ste 101
Gaithersburg, MD 20877-4151
Phone
(240) 200-5305
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 10277 MD Primary

Addresses

Primary practice location

800 S Frederick Ave Ste 101
Gaithersburg, MD 20877-4151

Mailing address

209 Long Trail LN
Rockville, MD 20850-7772
Phone (202) 993-1170

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
10277MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Occupational Therapy LLC CurrentSince Nov 27, 2022 Accepting new patients
Metro Speech Therapy LLC Speech-Language Pathologist CurrentSince Nov 27, 2022 Accepting new patients

Locations

800 S Frederick Ave
Ste 101
Gaithersburg, MD 20877
Phone (240) 200-5305

Organizations & group practices 2

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1619686136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LONG TRAIL LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507772",
            "telephone_number": "202-993-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774151",
            "telephone_number": "240-200-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNUM BADLEY",
        "first_name": "JOLIE",
        "credential": "MSC, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.