Active NPI
Alison Dawn Savannah, CCC-SLP
- Speech-Language Pathologist
- Manassas, VA
National Provider Identifier
1083076483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2203000723
- Practice address
- 14715 Bristow Rd
Manassas, VA 20112-3945 - Phone
- (724) 841-5088
- NPI assigned
- Mar 24, 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 | 2203000723 | VA | Primary |
Addresses
Primary practice location
14715 Bristow Rd
Manassas, VA 20112-3945
Mailing address
10310 Launch Cir Apt 303
Manassas, VA 20109-4254
Phone (724) 841-5088
Other practice location 1
8703 US 17 Bypass
Myrtle Beach, SC 29575
Phone (843) 457-1053
Other practice location 2
9744 Copeland Dr
Manassas, VA 20109-3074
Phone (703) 361-3444
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 |
|---|---|---|---|
| 2203000723 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083076483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 LAUNCH CIR APT 303",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201094254",
"telephone_number": "724-841-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14715 BRISTOW RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123945",
"telephone_number": "724-841-5088"
}
],
"practiceLocations": [
{
"address_1": "8703 US 17 Bypass",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "29575",
"country_code": "US",
"telephone_number": "843-457-1053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9744 Copeland Dr",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201093074",
"country_code": "US",
"telephone_number": "703-361-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAVANNAH",
"first_name": "ALISON",
"middle_name": "DAWN",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2203000723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.