Individual provider Active NPI

Angela A Flicek, MS/CCC-SLP

  • Speech-Language Pathologist
  • Fargo, ND
National Provider Identifier
1720270895
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4152 30TH Ave S
Fargo, ND 58104-8524
Phone
(701) 364-9070
Fax
(701) 364-9071
NPI assigned
Aug 13, 2007
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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 ND Primary

Addresses

Primary practice location

4152 30TH Ave S
Fargo, ND 58104-8524

Mailing address

2200 20TH St SW
Jamestown, ND 58401-7500
Phone (701) 252-3850

Other names 1

  • Angela Bolme Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803004422 ND Practitioner - Qualified Speech Language Pathologist 7517328719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Carlsen CenterGroup PAC ID 1557687274, 2 clinicians

Practice addresses (Care Compare)

4152 30TH Ave S
Fargo, ND 58104-8401
Phone (701) 364-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Speech-Language Pathologist CurrentSince Jul 21, 2023 Accepting new patients

Locations

4152 30th Ave S
Fargo, ND 58104
Phone (701) 364-2663

2200 20th St SW
Jamestown, ND 58401
Phone (701) 252-3850

701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1720270895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584017500",
            "telephone_number": "701-252-3850",
            "fax_number": "701-952-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 30TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048524",
            "telephone_number": "701-364-9070",
            "fax_number": "701-364-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICEK",
        "first_name": "ANGELA",
        "middle_name": "A",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BOLME",
            "credential": "MS/CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.

Verify at the official NPI Registry.