Active NPI
Mary C Caldwell, M.ED.
- Speech-Language Pathologist
- Crozet, VA
National Provider Identifier
1043791015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2203000759
- Practice address
- 1407 Crozet Ave
Crozet, VA 22932-2722 - Phone
- (434) 823-4800
- NPI assigned
- Aug 27, 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 | 2203000759 | VA | Primary |
Addresses
Primary practice location
1407 Crozet Ave
Crozet, VA 22932-2722
Mailing address
1206 Bland Cir
Charlottesville, VA 22901-4115
Phone (434) 953-5523
Other practice location 1
1757 Avon Street Ext
Charlottesville, VA 22902-8708
Phone (434) 293-7455
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2203000759 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1043791015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 BLAND CIR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229014115",
"telephone_number": "434-953-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 CROZET AVE",
"city": "CROZET",
"state": "VA",
"postal_code": "229322722",
"telephone_number": "434-823-4800"
}
],
"practiceLocations": [
{
"address_1": "1757 Avon Street Ext",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229028708",
"country_code": "US",
"telephone_number": "434-293-7455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "MARY",
"middle_name": "C",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2203000759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crozet, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.