{"npi":"1891818555","type":"NPI-1","status":"active","name":{"display":"Ms. Angela Tate Mcd/Ccc-Slp","other":[{"code":"1","type":"Formerly known as","value":"TATE-WASHINGTON, ANGELA GAIL"}],"first":"ANGELA","last":"TATE","middle":"GAIL","credential":"MCD/CCC-SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":false,"state":"AZ","license":"SLP 5334"},{"code":"235Z00000X","description":"Speech-Language Pathology","primary":false,"state":"GA","license":"006491"},{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"GA","license":"SLP006491"}]},"addresses":[{"purpose":"LOCATION","street_1":"3400 MCCLURE BRIDGE RD G 701","city":"DULUTH","state":"GA","postal_code":"300968751","country_code":"US","phone":"6789571012","fax":"6789571013"},{"purpose":"MAILING","street_1":"3400 MCCLURE BRIDGE RD G 701","city":"DULUTH","state":"GA","postal_code":"300968751","country_code":"US","phone":"6789571012","fax":"6789571013"}],"license":{"state":"GA","number":"SLP006491"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"169808036D","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140121000828","type_code":"14-15","type_desc":"PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST","state":"GA","pac_id":"1254569221"}]},"enumeration_date":"2007-04-09","last_updated":"2016-06-17","_meta":{"source":"NPPES","snapshot_date":"2016-06-17","doc_url":"https://findmynpi.com/api"}}