ELISABETH K. KONDYLAS (NPI# 1396864898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396864898 |
| Entity Type | Individual |
| Full Name | ELISABETH K. KONDYLAS |
| Credential | M.A., CCC, SLP |
| Practice Address |
16 Fusting Ave Baltimore MD 21228-4413 |
| Mailing Address |
Po Box 12062 Baltimore MD 21281-2062 |
| Practice Telephone | 4107471800 |
| Mailing Telephone | 4103711085 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3990 | MD | Speech, Language and Hearing Service Providers |
| Street Address |
16 FUSTING AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043142 | Meridian Health, Inc. | Skilled Nursing Facility | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2006-05-24 |
| 1528354859 | Emily Rose Nitsch | Emergency Medical Technician, Basic | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2011-06-24 |
| 1609038090 | Lisa Ann Sattler | Community Health Worker | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2008-06-27 |
| 1083896542 | 16 Fusting Avenue Operations LLC | Skilled Nursing Facility | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2007-11-27 |
| 1275746109 | Patricia Ann Jenkins | Physical Therapy Assistant | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2007-05-07 |
| 1649390931 | Shellie K Deluca | Physical Therapist | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2007-03-30 |
| 1447377544 | Antoinette Shaw | Occupational Therapist | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2007-03-23 |
| 1619092368 | Christie A Kyriacos | Occupational Therapy Assistant | 16 Fusting Ave, Baltimore, MD 21228-4413 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352496 | Kristine Helen Moore | Speech-Language Pathologist | 6300 Pinehurst Rd, Baltimore, MD 21212-2534 | 2020-10-04 |
| 1508473018 | Katherine Campagna | Speech-Language Pathologist | 2601 Tolley St, Baltimore, MD 21230-1534 | 2020-09-29 |
| 1629685656 | Cali Wilde | Speech-Language Pathologist | 111 W Heath St Unit 401, Baltimore, MD 21230-4457 | 2020-09-24 |
| 1003422890 | Rachel Weeks | Speech-Language Pathologist | 112 S Patterson Park Ave Apt 4, Baltimore, MD 21231-2114 | 2020-09-17 |
| 1285249508 | Alexandra Walker | Speech-Language Pathologist | 1300 Gorsuch Ave, Baltimore, MD 21218-3777 | 2020-09-14 |
| 1154936425 | Claire Elizabeth Fassett | Speech-Language Pathologist | 1624 Eutaw Pl, Baltimore, MD 21217-3724 | 2020-09-13 |
| 1356955371 | Gabriela Peixoto Pereira | Speech-Language Pathologist | 3801 Fallstaff Rd, Baltimore, MD 21215-1502 | 2020-09-08 |
| 1407467012 | Sarah Miriam Preiser | Speech-Language Pathologist | 2901 Smith Ave, Baltimore, MD 21208-4540 | 2020-08-17 |
| 1063020295 | Ashley Banini | Speech-Language Pathologist | 8220 Tawnmoore Rd, Baltimore, MD 21244-3049 | 2020-07-14 |
| 1275151664 | Katherine Ann Gallaher | Speech-Language Pathologist | 507 S East Ave, Baltimore, MD 21224-3914 | 2020-07-11 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.