Organization Active NPI

-

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1093414880
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
-
Practice address
200 Massachusetts Ave NW Ste 700
Washington, DC 20001-5654
Phone
(252) 549-0696
Fax
(844) 943-1796
NPI assigned
Mar 1, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Dr. Valencia Perry, PHDNPI 1124362355
Title
Owner
Phone
(202) 993-8781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

200 Massachusetts Ave NW Ste 700
Washington, DC 20001-5654

Mailing address

2490 Market St NE # 133
Washington, DC 20018-3851
Phone (202) 993-8781

Other identifiers 1

IdentifierTypeStateIssuer
2080541MedicaidMD

National Provider Directory

National Provider Directory

Locations

200 Massachusetts Ave NW
Ste 700
Washington, DC 20001
Phone (252) 549-0696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1093414880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 MARKET ST NE # 133",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183851",
            "telephone_number": "202-993-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MASSACHUSETTS AVE NW STE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015654",
            "telephone_number": "252-549-0696",
            "fax_number": "844-943-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "-",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-993-8781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080541",
            "state": "MD"
        }
    ],
    "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 Mar 21, 2023; 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.