Individual provider Active NPI

Rebecca Bevins

  • Speech-Language Pathologist
  • Dumfries, VA
National Provider Identifier
1194492058
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000810 Issued in VA
Practice address
16125 Dumfries Rd
Dumfries, VA 22025-1401
Phone
(703) 670-3173
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 2204000810 VA Primary

Addresses

Primary practice location

16125 Dumfries Rd
Dumfries, VA 22025-1401

Mailing address

105 Riverview Dr
Fredericksburg, VA 22405-2522

Other practice location 1

14715 Bristow Rd
Manassas, VA 20112-3945
Phone (703) 791-7200

Other practice location 2

3613 Graham Park Rd
Triangle, VA 22172-1101
Phone (703) 221-2118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104000158 TN Practitioner - Qualified Speech Language Pathologist 0345617353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Therapies LLCGroup PAC ID 5092086637, 13 clinicians

Practice addresses (Care Compare)

3011 Longford Dr
Suite 4
Spring Hill, TN 37174-6203
Phone (615) 241-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8083TNMDOccupational Therapist
2204000810VAMDSpeech-Language Pathologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1194492058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RIVERVIEW DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 DUMFRIES RD",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251401",
            "telephone_number": "703-670-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14715 Bristow Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201123945",
            "country_code": "US",
            "telephone_number": "703-791-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3613 Graham Park Rd",
            "address_purpose": "LOCATION",
            "city": "Triangle",
            "state": "VA",
            "postal_code": "221721101",
            "country_code": "US",
            "telephone_number": "703-221-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVINS",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.