Active NPI
Frances Licia Minano Ladaga, M.S.
- Speech-Language Pathologist
- Lanham, MD
National Provider Identifier
1770173627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02486
- Practice address
- 4485 Forbes Blvd.
Lanham, MD 20706 - Phone
- (301) 429-2900
- Fax
- (443) 458-7242
- NPI assigned
- Jan 25, 2021
- Reactivated
- Apr 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 02486 | MD | Primary |
Addresses
Primary practice location
4485 Forbes Blvd.
Lanham, MD 20706
Mailing address
601 Evening Star PL
Bowie, MD 20721
Phone (301) 633-5604
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02486 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1770173627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 EVENING STAR PL",
"city": "BOWIE",
"state": "MD",
"postal_code": "20721",
"telephone_number": "301-633-5604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 FORBES BLVD.",
"city": "LANHAM",
"state": "MD",
"postal_code": "20706",
"telephone_number": "301-429-2900",
"fax_number": "443-458-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADAGA",
"first_name": "FRANCES LICIA",
"middle_name": "MINANO",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-25",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"deactivation_date": "2022-02-18",
"reactivation_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "02486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.