Active NPI
Abigail Christine Lawrence, M.S., CCC-SLP
- Speech-Language Pathologist
- Burke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202009508
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09267 | MD | MD | Speech-Language Pathologist |
| 6656 | TN | MD | Speech-Language Pathologist |
| 2202009508 | VA | MD | Speech-Language Pathologist |
| SLP-1697 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Speech-Language Pathologist | Current | 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.
-
- Physical Therapist
- Roanoke, VA
- NPI 1740820828
Speech-Language Pathologist, VA
-
- Physical Therapist
- Washington, DC
- NPI 1255750030
DC, Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
-
- Physical Therapist
- Silver Spring, MD
- NPI 1376151811
Speech-Language Pathologist
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.