Individual provider Active NPI

Kathleen Lynn Bufalari, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fredericksburg, VA
National Provider Identifier
1245440239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003714 Issued in VA
Practice address
1201 Sam Perry Blvd
Suite 240
Fredericksburg, VA 22401-4490
Phone
(540) 741-1542
Fax
(540) 741-1543
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2202003714 VA Primary

Addresses

Primary practice location

1201 Sam Perry Blvd
Suite 240
Fredericksburg, VA 22401-4490

Mailing address

8814 Dundee Dr
Fredericksburg, VA 22408-8727
Phone (540) 891-7442

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
2202003714VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital Inc. Past Accepting new patients
East Coast Physicians PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245440239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 DUNDEE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088727",
            "telephone_number": "540-891-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD",
            "address_2": "SUITE 240",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014490",
            "telephone_number": "540-741-1542",
            "fax_number": "540-741-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFALARI",
        "first_name": "KATHLEEN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.