Individual provider Active NPI

Annette Lynn McElvain

  • Speech-Language Pathologist
  • Rocky Mount, VA
National Provider Identifier
1184137622
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007518 Issued in VA
Practice address
25 Bernard Rd
Rocky Mount, VA 24151-6614
Phone
(540) 483-0280
Fax
(540) 483-4204
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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 2202007518 VA Primary

Addresses

Primary practice location

25 Bernard Rd
Rocky Mount, VA 24151-6614

Mailing address

2332 Wysong Mill Rd
Hardy, VA 24101-4514
Phone (540) 890-1987

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728001825 VA Practitioner - Qualified Speech Language Pathologist 1759742323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202007518VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Therapies Co Speech-Language Pathologist CurrentSince Jun 1, 2023 Accepting new patients

Locations

128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465

7195 Booker T Washington Hwy
Unit 3
Wirtz, VA 24184
Phone (276) 352-4465

Organizations & group practices 1

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1184137622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 WYSONG MILL RD",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241014514",
            "telephone_number": "540-890-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BERNARD RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241516614",
            "telephone_number": "540-483-0280",
            "fax_number": "540-483-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELVAIN",
        "first_name": "ANNETTE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.