Active NPI
Amy Cipolloni Bland
- Speech-Language Pathologist
- Forest Hill, MD
National Provider Identifier
1699230862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05055
- Practice address
- 2018 Rock Spring Rd Ste A7
Forest Hill, MD 21050-2631 - Phone
- (443) 619-7712
- Fax
- (443) 377-1260
- NPI assigned
- Feb 1, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 05055 | MD | Primary |
Addresses
Primary practice location
2018 Rock Spring Rd Ste A7
Forest Hill, MD 21050-2631
Mailing address
2018 Rock Spring Rd Ste A7
Forest Hill, MD 21050-2631
Phone (443) 619-7712
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05055 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1699230862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 ROCK SPRING RD STE A7",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502631",
"telephone_number": "443-619-7712",
"fax_number": "443-377-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 ROCK SPRING RD STE A7",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502631",
"telephone_number": "443-619-7712",
"fax_number": "443-377-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "AMY",
"middle_name": "CIPOLLONI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.