Active NPI
Victoria Vanderaa, M.S., CCC-SLP/L
- Speech-Language Pathologist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7687
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-3360 - Phone
- (615) 322-5000
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.004100 | IL | |
| Speech-Language Pathologist | 235Z00000X | 7687 | TN | Primary |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-3360
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice location 1
1215 21st Ave S Ste 6209
Nashville, TN 37232-3360
Phone (615) 936-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vvanderaa656861@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL, CA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 Revere Dr
Northbrook, IL 60062-1566
Phone (512) 399-0064
633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.004100 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
5 Revere Dr
#One
Northbrook, IL 60062
5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
Interoperability endpoints
- vvanderaa656861@direct.vumc.org
Organizations & group practices 2
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
- Austin, TX
- NPI 1649875857
CA, IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1063967479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372323360",
"telephone_number": "615-322-5000"
}
],
"practiceLocations": [
{
"address_1": "1215 21st Ave S Ste 6209",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372323360",
"country_code": "US",
"telephone_number": "615-936-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERAA",
"first_name": "VICTORIA",
"credential": "M.S., CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.004100",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "7687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vvanderaa656861@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "1215 21st Ave S Ste 6209",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372323360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
- Ellen Vandelaar, BCBA
- Hillary Jane Vandelinde, B.A., MSW CANDIDATE
- Marnie Lynn Vanden Noven, MS PT
- Joshua Vander Velden, MHR, ATC
- Ann Vander Woude, APRN
- Vanderbilt Asthma Sinus Allergy Program
- Vanderbilt Asthma Sinus and Allergy Program, LLC
- Vanderbilt Children's
- Vanderbilt Children's Hospital Pharmacy
- Vanderbilt Childrens Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.