Active NPI
Sydney Smith
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1003308552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP001578
- Practice address
- 201 Massachusetts Ave NE Ste C9
Washington, DC 20002-4988 - Phone
- (202) 544-5469
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP001578 | DC | Primary |
Addresses
Primary practice location
201 Massachusetts Ave NE Ste C9
Washington, DC 20002-4988
Mailing address
12414 Knollcrest Rd
Reisterstown, MD 21136-5629
Phone (410) 790-1458
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP001578 | DC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Kids Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Washington, DC
- NPI 1487915575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1003308552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12414 KNOLLCREST RD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211365629",
"telephone_number": "410-790-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MASSACHUSETTS AVE NE STE C9",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024988",
"telephone_number": "202-544-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SYDNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP001578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.