Active NPI
Amber Villella, MA
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1881741304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008680
- Practice address
- 900 Pemberton Rd
Baltimore, MD 21212-1620 - Phone
- (443) 809-3600
- NPI assigned
- Jan 5, 2007
- Last updated
- Sep 29, 2021
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09968 | MD | |
| Speech-Language Pathologist | 235Z00000X | SL008680 | PA | Primary |
Addresses
Primary practice location
900 Pemberton Rd
Baltimore, MD 21212-1620
Mailing address
900 Pemberton Rd
Baltimore, MD 21212-1620
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09968 | MD | MD | Speech-Language Pathologist |
| SL008680 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Speech & Hearing, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Crossroads Speech & Hearing, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- McMurray, PA
- NPI 1891794632
-
- Audiologist
- McMurray, PA
- NPI 1972701365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1881741304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PEMBERTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PEMBERTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121620",
"telephone_number": "443-809-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLELLA",
"first_name": "AMBER",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09968",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Yuris Vanessa Villatoro
- Rudini B Villaver
- Roberto Andres Villazon
- Maria Isabel Villegas Kastner, M.D.
- Adriana Villegas
- Jan Ryan Viloria, FNP-BC
- Meenakshi Vimalananda, MD
- Valeria Isabel Vinatea Gorrindo, MD
- Vincent G Banks Center for Residential Substance Use Treatments LLC
- Vincent G. Banks Center for Residential Substance Use Treatment
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.