Individual provider Active NPI

Maura Ofallon

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1053767624
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP000910 Issued in DC
Practice address
1550 Foxhall Rd NW
The Lab School of Washington
Washington, DC 20007-2007
Phone
(202) 349-8671
NPI assigned
May 12, 2016
Last updated
May 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP000910 DC Primary

Addresses

Primary practice location

1550 Foxhall Rd NW
The Lab School of Washington
Washington, DC 20007-2007

Mailing address

1550 Foxhall Rd NW
The Lab School of Washington
Washington, DC 20007-2007

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

LicenseStateTypeSpecialty
SLP000910DCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1053767624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 FOXHALL RD NW",
            "address_2": "THE LAB SCHOOL OF WASHINGTON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 FOXHALL RD NW",
            "address_2": "THE LAB SCHOOL OF WASHINGTON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072007",
            "telephone_number": "202-349-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFALLON",
        "first_name": "MAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000910",
            "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 May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.