Active NPI
Suzanne Hogan, MA, CCC-SLP
- Speech-Language Pathologist
- Arlington, VA
National Provider Identifier
1134558042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP000579
- Practice address
- 1501 Crystal Dr
321
Arlington, VA 22202-4121 - Phone
- (413) 218-9273
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP000579 | DC | Primary |
| Speech-Language Pathologist | 235Z00000X | 04497 | MD |
Addresses
Primary practice location
1501 Crystal Dr
321
Arlington, VA 22202-4121
Mailing address
1501 Crystal Dr
321
Arlington, VA 22202-4121
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP000579 | DC | MD | Speech-Language Pathologist |
| 04497 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1134558042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CRYSTAL DR",
"address_2": "321",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CRYSTAL DR",
"address_2": "321",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024121",
"telephone_number": "413-218-9273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "SUZANNE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP000579",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "04497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.