Individual provider Active NPI

Angela Elizabeth Tamberrino, MS, CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1932766490
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05561 Issued in MD
Practice address
1207 Pine Heights Ave
Baltimore, MD 21229-5129
Phone
(410) 396-1416
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 05561 MD Primary

Addresses

Primary practice location

1207 Pine Heights Ave
Baltimore, MD 21229-5129

Mailing address

18355 Penn Shop Rd
Mount Airy, MD 21771-3941
Phone (410) 591-7285

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

LicenseStateTypeSpecialty
05561MDMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1932766490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18355 PENN SHOP RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217713941",
            "telephone_number": "410-591-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 PINE HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295129",
            "telephone_number": "410-396-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBERRINO",
        "first_name": "ANGELA",
        "middle_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.