Active NPI
Christina Luckey Whitham, CCC-SLP
- Speech-Language Pathologist
- Henrico, VA
National Provider Identifier
1073960183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202008176
- Practice address
- 13700 N Gayton Rd
Henrico, VA 23233-7017 - Phone
- (804) 349-8612
- NPI assigned
- May 18, 2016
- 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 | 2202008176 | VA | Primary |
Addresses
Primary practice location
13700 N Gayton Rd
Henrico, VA 23233-7017
Mailing address
13700 N. Gayton Rd
Richmond, VA 23233
Phone (804) 364-6352
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 |
|---|---|---|---|
| 2202008176 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1073960183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13700 N. GAYTON RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23233",
"telephone_number": "804-364-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13700 N GAYTON RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337017",
"telephone_number": "804-349-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITHAM",
"first_name": "CHRISTINA",
"middle_name": "LUCKEY",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.