Active NPI
Victoria Kurr Richardson I, M.S.
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1245874098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09536
- Practice address
- 3701 Fernhill Ave
Baltimore, MD 21215-6133 - Phone
- (203) 241-5875
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 09536 | MD | Primary |
Addresses
Primary practice location
3701 Fernhill Ave
Baltimore, MD 21215-6133
Mailing address
107 Wilgate Rd
Owings Mills, MD 21117-3325
Phone (203) 241-5875
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09536 | Other | MD | MARYLAND DEPARTMENT OF HEALTH- SPEECH LANGUAGE PATHOLOGIST LICENSE |
| 14128436 | Other | AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION (ASHA) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09536 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1245874098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WILGATE RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173325",
"telephone_number": "203-241-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 FERNHILL AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212156133",
"telephone_number": "203-241-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "VICTORIA",
"middle_name": "KURR",
"name_suffix": "I",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND DEPARTMENT OF HEALTH- SPEECH LANGUAGE PATHOLOGIST LICENSE",
"identifier": "09536",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION (ASHA)",
"identifier": "14128436",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.