ANGELA MARIE GILLIS M.S. CCC-SLP
NPI 1285397356
Speech-Language Pathologist in South Bend, IN

Q: What is Angela Gillis's NPI number?

The NPI number for Angela Gillis is 1285397356. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Q: What is Angela Gillis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Gillis was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2021

17434 STATE ROAD 23 STE 205, SOUTH BEND, IN 46635(574) 742-1114 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angela Marie Gillis M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA MARIE GILLIS M.S. CCC-SLP (NPI 1285397356) is an individual speech-language pathologist provider in South Bend, Indiana, licensed in Indiana (22007156A) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1285397356

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANGELA MARIE GILLISCredential: M.S. CCC-SLP

Location Address17434 STATE ROAD 23 STE 205South Bend, IN 46635-1743

Mailing Address17434 State Road 23 Ste 205South Bend, IN 46635-1743 · (574) 742-1114

Phone(574) 742-1114

Sole ProprietorYes

Enumeration DateOctober 15, 2021

NPPES CertifiedSeptember 16, 2021

✔ NPI 1285397356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in IN · 22007156A

Definition

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.

17434 STATE ROAD 23 STE 205, South Bend, IN 46635

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Other Identifiers 1

Other22007156AIN · Speech Language Pathologist

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Gillis's NPI number?

The NPI number for Angela Gillis is 1285397356. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Angela Gillis located?

Angela Gillis practices at 17434 State Road 23 Ste 205, South Bend, IN 46635. The listed phone number is (574) 742-1114.

What is Angela Gillis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Angela Gillis was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.