Individual provider Active NPI

Kayla Louise Smith

  • Speech-Language Pathologist
  • Fredericksburg, VA
National Provider Identifier
1275015034
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3412 Massaponax Church Rd
Fredericksburg, VA 22408-8778
Phone
(540) 834-4569
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 Primary

Addresses

Primary practice location

3412 Massaponax Church Rd
Fredericksburg, VA 22408-8778

Mailing address

6502 Charmed Way Apt 301
Fredericksburg, VA 22407-3312
Phone (724) 678-7395

Other practice location 1

6701 Smith Station Rd
Spotsylvania, VA 22553-1803
Phone (540) 898-4445

Other practice location 2

7565 Courthouse Rd
Spotsylvania, VA 22551-2706
Phone (540) 582-7583

Other practice location 3

6601 Smith Station Rd
Spotsylvania, VA 22553-1801
Phone (540) 898-5422

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

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1275015034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 CHARMED WAY APT 301",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224073312",
            "telephone_number": "724-678-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 MASSAPONAX CHURCH RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088778",
            "telephone_number": "540-834-4569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Smith Station Rd",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225531803",
            "country_code": "US",
            "telephone_number": "540-898-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7565 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225512706",
            "country_code": "US",
            "telephone_number": "540-582-7583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6601 Smith Station Rd",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225531801",
            "country_code": "US",
            "telephone_number": "540-898-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Aug 29, 2018; 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.