Active NPI
Andrea Francis Pangia, M.S.
- Speech-Language Pathologist
- Ridgeland, SC
National Provider Identifier
1962690479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4836
- Practice address
- 10616 S Jacob Smart Blvd
Ridgeland, SC 29936-8477 - Phone
- (843) 645-8255
- NPI assigned
- Oct 9, 2007
- Last updated
- Feb 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4836 | SC | Primary |
Addresses
Primary practice location
10616 S Jacob Smart Blvd
Ridgeland, SC 29936-8477
Mailing address
10616 S Jacob Smart Blvd
Ridgeland, SC 29936-8477
Phone (843) 645-8255
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1962690479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10616 S JACOB SMART BLVD",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299368477",
"telephone_number": "843-645-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10616 S JACOB SMART BLVD",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299368477",
"telephone_number": "843-645-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGIA",
"first_name": "ANDREA",
"middle_name": "FRANCIS",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.