Individual provider Active NPI

Patricia Ann Mahafkey

  • Speech-Language Pathologist
  • Springfield, VA
National Provider Identifier
1215215314
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202002965 Issued in VA
Practice address
7769 Camp David Dr
Springfield, VA 22153-2371
Phone
(703) 851-3766
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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 2202002965 VA Primary

Addresses

Primary practice location

7769 Camp David Dr
Springfield, VA 22153-2371

Mailing address

7769 Camp David Dr
Springfield, VA 22153-2371
Phone (703) 851-3766

Other names 1

  • Patricia Kelly Mahafkey Other name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1215215314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7769 CAMP DAVID DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532371",
            "telephone_number": "703-851-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7769 CAMP DAVID DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532371",
            "telephone_number": "703-851-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFKEY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MAHAFKEY",
            "middle_name": "KELLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.