Individual provider Active NPI

Linda Panzarella-Miller, SLP

  • Speech-Language Pathologist
  • Dundalk, MD
National Provider Identifier
1780148726
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01313 Issued in MD
Practice address
641 Main St
Dundalk, MD 21222-6248
Phone
(410) 282-6977
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 01313 MD Primary

Addresses

Primary practice location

641 Main St
Dundalk, MD 21222-6248

Mailing address

2225 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6123
Phone (410) 515-4900

Other identifiers 1

IdentifierTypeStateIssuer
01313OtherMDTHE MARYLAND STATE BOARD OF AUDIOLOGIST SPEECH LANGUAGE PATHOLOGIST

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
01313MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Maryland Therapy Network, Inc Speech-Language Pathologist Past Accepting new patients

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1780148726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD STE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156123",
            "telephone_number": "410-515-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MAIN ST",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212226248",
            "telephone_number": "410-282-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZARELLA-MILLER",
        "first_name": "LINDA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MARYLAND STATE BOARD OF AUDIOLOGIST SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "01313",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.