Individual provider Active NPI

Bristol Lowder Choquette, CCC-SLP

  • Speech-Language Pathologist
  • Boones Mill, VA
National Provider Identifier
1225901135
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202011852 Issued in VA
Practice address
672 Naff Rd
Boones Mill, VA 24065-1992
Phone
(540) 985-9813
Fax
(540) 985-4066
NPI assigned
Sep 26, 2025
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 2202011852 VA Primary

Addresses

Primary practice location

672 Naff Rd
Boones Mill, VA 24065-1992

Mailing address

213 S Jefferson St
Roanoke, VA 24011-1705
Phone (540) 224-5516

Other practice location 1

Carilion Children's Pediatric Therapy Department
4348 Electric Rd, SW 1st Floor
Roanke, VA 24018
Phone (540) 769-0974

Other names 1

  • Ms. Bristol Renee Lowder Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501000525 VA Practitioner - Qualified Speech Language Pathologist 7911474507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 S Jefferson St
Suite 1006
Roanoke, VA 24011-1713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202011852VAMDSpeech-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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1225901135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111705",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 NAFF RD",
            "city": "BOONES MILL",
            "state": "VA",
            "postal_code": "240651992",
            "telephone_number": "540-985-9813",
            "fax_number": "540-985-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carilion Children's Pediatric Therapy Department",
            "address_2": "4348 Electric Rd, SW 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Roanke",
            "state": "VA",
            "postal_code": "24018",
            "country_code": "US",
            "telephone_number": "540-769-0974",
            "fax_number": "540-857-5384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOQUETTE",
        "first_name": "BRISTOL",
        "middle_name": "LOWDER",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202011852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRISTOL",
            "last_name": "LOWDER",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boones Mill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.