Individual provider Active NPI

Karen Nirschl

  • Speech-Language Pathologist
  • Stafford, VA
National Provider Identifier
1104226760
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007405 Issued in VA
Practice address
2765 Jefferson Davis Hwy
Suite 209
Stafford, VA 22554-8331
Phone
(540) 720-2261
NPI assigned
Sep 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007405 VA Primary

Addresses

Primary practice location

2765 Jefferson Davis Hwy
Suite 209
Stafford, VA 22554-8331

Mailing address

654 Old Hunt Way
Herndon, VA 20170-3100
Phone (703) 635-9448

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

LicenseStateTypeSpecialty
2202007405VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1104226760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 OLD HUNT WAY",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703100",
            "telephone_number": "703-635-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-720-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRSCHL",
        "first_name": "KAREN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; 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.