Individual provider Active NPI

Rachel Emily Holston, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Annandale, VA
National Provider Identifier
1215673124
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010514 Issued in VA
Practice address
6715 Little River Tpke Ste 200
Annandale, VA 22003-3546
Phone
(703) 879-2479
NPI assigned
May 12, 2022
Last updated
Aug 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP000027 DC
Speech-Language Pathologist 235Z00000X 2202010514 VA Primary

Addresses

Primary practice location

6715 Little River Tpke Ste 200
Annandale, VA 22003-3546

Mailing address

901 N Pollard St Apt 1109
Arlington, VA 22203-4093
Phone (443) 504-3466

Other practice location 1

201 Mass Ave NE Ste C9
Washington, DC 20002-4988
Phone (202) 544-5469

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP000027DCMDSpeech-Language Pathologist
2202010514VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Kids Therapy Speech-Language Pathologist PastSince May 1, 2022 Accepting new patients

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1215673124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N POLLARD ST APT 1109",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034093",
            "telephone_number": "443-504-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE STE 200",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-879-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Mass Ave NE Ste C9",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024988",
            "country_code": "US",
            "telephone_number": "202-544-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLSTON",
        "first_name": "RACHEL",
        "middle_name": "EMILY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000027",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.