Individual provider Active NPI

Rebecca Danielle Parks, M.ED., CF-SLP

  • Speech-Language Pathologist
  • Charlottesville, VA
National Provider Identifier
1225843378
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001532 Issued in VA
Practice address
1400 Melbourne Rd
Charlottesville, VA 22901-3148
Phone
(434) 363-0823
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 2204001532 VA Primary

Addresses

Primary practice location

1400 Melbourne Rd
Charlottesville, VA 22901-3148

Mailing address

235 Yellowstone Dr Apt 103
Charlottesville, VA 22903-8123
Phone (434) 363-0823

Other practice location 1

1000 Cherry Ave
Charlottesville, VA 22903-3491
Phone (434) 363-0823

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 Education

State licenses

LicenseStateTypeSpecialty
2204001532VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1225843378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 YELLOWSTONE DR APT 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229038123",
            "telephone_number": "434-363-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MELBOURNE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013148",
            "telephone_number": "434-363-0823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Cherry Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033491",
            "country_code": "US",
            "telephone_number": "434-363-0823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "REBECCA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "M.ED., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.