Individual provider Active NPI

Abigail Christine Lawrence, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Burke, VA
National Provider Identifier
1144609124
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202009508 Issued in VA
Practice address
9642 Burke Lake Rd Ste 1
Burke, VA 22015-3024
Phone
(703) 425-1698
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09267 MD
Speech-Language Pathologist 235Z00000X 6656 TN
Speech-Language Pathologist 235Z00000X SLP-1697 WV
Speech-Language Pathologist 235Z00000X 2202009508 VA Primary

Addresses

Primary practice location

9642 Burke Lake Rd Ste 1
Burke, VA 22015-3024

Mailing address

12901 Centre Park Cir Apt 115
Herndon, VA 20171-5810
Phone (304) 767-1711

Other names 1

  • Abigail Dolph Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241022004677 DC Practitioner - Qualified Speech Language Pathologist 4486187978 Reassigns benefits to 2 organizations
I20241126004240 VA Practitioner - Qualified Speech Language Pathologist 4486187978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

3365 Ogden Rd
Roanoke, VA 24018-1151
Phone 5406827506506

3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992

5901 Macarthur Blvd NW
Washington, DC 20016-2541
Phone (202) 244-6800

7112 Braddock Rd
Annandale, VA 22003-6007
Phone (919) 825-1738

7116 Fort Hunt Rd
Alexandria, VA 22307-1900
Phone (571) 257-6874

7820 Baltusrol Blvd
Gainesville, VA 20155-3270
Phone (571) 284-7342

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09267MDMDSpeech-Language Pathologist
6656TNMDSpeech-Language Pathologist
2202009508VAMDSpeech-Language Pathologist
SLP-1697WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC CurrentSince Feb 1, 2026 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Oct 8, 2024 Accepting new patients
Legacy Healthcare Services, Inc Speech-Language Pathologist Current Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Oct 8, 2024 Accepting new patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Oct 8, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

9642 Burke Lake Rd
Ste 1
Burke, VA 22015
Phone (703) 425-1698

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 5

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": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1144609124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 CENTRE PARK CIR APT 115",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715810",
            "telephone_number": "304-767-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9642 BURKE LAKE RD STE 1",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153024",
            "telephone_number": "703-425-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ABIGAIL",
        "middle_name": "CHRISTINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09267",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6656",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1697",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "DOLPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.