Active NPI
Spencer E Benford
- Speech-Language Pathologist
- Falls Church, VA
National Provider Identifier
1184397770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202010062
- Practice address
- 8115 Gatehouse Rd
Falls Church, VA 22042-1203 - Phone
- (832) 236-5529
- NPI assigned
- Jul 29, 2021
- Last updated
- Aug 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202010062 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | 116103 | TX |
Addresses
Primary practice location
8115 Gatehouse Rd
Falls Church, VA 22042-1203
Mailing address
8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530
Phone (281) 716-5756
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116103 | TX | MD | Licensed Vocational Nurse |
| 2202010062 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1184397770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8270 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314530",
"telephone_number": "281-716-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 GATEHOUSE RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421203",
"telephone_number": "832-236-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENFORD",
"first_name": "SPENCER",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202010062",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "116103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.