Individual provider Active NPI

Luisa Fernanda Herrera-Beltran, MS/SLP

  • Speech-Language Pathologist
  • Vienna, VA
National Provider Identifier
1104063122
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006122 Issued in VA
Practice address
1604 Spring Hill Rd
Suite 310
Vienna, VA 22182-7510
Phone
(703) 546-8594
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 018747 NY
Speech-Language Pathologist 235Z00000X 2202006122 VA Primary

Addresses

Primary practice location

1604 Spring Hill Rd
Suite 310
Vienna, VA 22182-7510

Mailing address

1604 Spring Hill Rd
Suite 310
Vienna, VA 22182-7510
Phone (914) 316-4884

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
018747NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1104063122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SPRING HILL RD",
            "address_2": "SUITE 310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827510",
            "telephone_number": "914-316-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SPRING HILL RD",
            "address_2": "SUITE 310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827510",
            "telephone_number": "703-546-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA-BELTRAN",
        "first_name": "LUISA",
        "middle_name": "FERNANDA",
        "credential": "MS/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018747",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.