Individual provider Active NPI

Savanah Hope Gazdecki, MA CCC SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1124883129
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP200001580 Issued in DC
Practice address
201 Massachusetts Ave NE Ste C9
Washington, DC 20002-4988
Phone
(202) 544-5469
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 SLP200001580 DC Primary

Addresses

Primary practice location

201 Massachusetts Ave NE Ste C9
Washington, DC 20002-4988

Mailing address

532 N Imboden St Apt 301
Alexandria, VA 22304-5485
Phone (810) 588-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403004472 DC Practitioner - Qualified Speech Language Pathologist 2163860537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creative Health Care Management LLCGroup PAC ID 4385929892, 87 clinicians

Practice addresses (Care Compare)

4656 Livingston Rd SE
Vertis Therapy|Livingston Place
Washington, DC 20032-3136
Phone (202) 519-0982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Speech-Language Pathologist CurrentSince Mar 1, 2024 Accepting new patients
Creative Health Care Management, LLC Speech-Language Pathologist CurrentSince Mar 1, 2024 Accepting new patients
Capitol Kids Therapy Speech-Language Pathologist PastSince Feb 25, 2024 Accepting new patients

Locations

10 S 9th St
Ste 4
Noblesville, IN 46060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1124883129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 N IMBODEN ST APT 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223045485",
            "telephone_number": "810-588-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MASSACHUSETTS AVE NE STE C9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024988",
            "telephone_number": "202-544-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDECKI",
        "first_name": "SAVANAH",
        "middle_name": "HOPE",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP200001580",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.