Individual provider Active NPI

Elizabeth Joyce Campbell, SLP

  • Speech-Language Pathologist
  • Aldie, VA
National Provider Identifier
1285138115
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202002009 Issued in VA
Practice address
41535 Sacred Mountain St
Aldie, VA 20105-5533
Phone
(703) 722-2680
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 2202002009 VA Primary

Addresses

Primary practice location

41535 Sacred Mountain St
Aldie, VA 20105-5533

Mailing address

20970 Promontory SQ
Sterling, VA 20165-7211
Phone (571) 388-8045

Other practice location 1

21000 Education Ct
Broadlands, VA 20148-5526
Phone (571) 252-1011

Other identifiers 2

IdentifierTypeStateIssuer
01081859OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
2202002009OtherVADEPARTMENT OF HEALTH PROFESSIONS

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

State licenses

LicenseStateTypeSpecialty
2202002009VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun County Public Schools Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1285138115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20970 PROMONTORY SQ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657211",
            "telephone_number": "571-388-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41535 SACRED MOUNTAIN ST",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055533",
            "telephone_number": "703-722-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Education Ct",
            "address_purpose": "LOCATION",
            "city": "Broadlands",
            "state": "VA",
            "postal_code": "201485526",
            "country_code": "US",
            "telephone_number": "571-252-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELIZABETH",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "01081859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2202002009",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.