Ann Lockard Douthat, M.A., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000603 Issued in VA

Practice address

3613 Graham Park Rd
Triangle, VA 22172-1101

Phone

(703) 221-2118

NPI assigned

Oct 10, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295333433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PARKCREST ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240144211",
            "telephone_number": "540-589-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 GRAHAM PARK RD",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721101",
            "telephone_number": "703-221-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHAT",
        "first_name": "ANN",
        "middle_name": "LOCKARD",
        "credential": "M.A., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LDouthat@pwcs.edu",
            "affiliation": "Y",
            "affiliationName": "Prince William County Public Schools",
            "address_1": "3613 Graham Park Rd",
            "city": "Triangle",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221721101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• D & D Health LLC (D & D Health)
• Darbre Healthcare Services LLC
• Devine Home Care Limited Company
• Fany Roosmery Diaz
• Monica E. Dontoh
• Dreamsville Residential Services LLC
• Margaret Agyeman Duho
• Ebenezer Rest Home LLC
• Emelia Residential Services LLC
• Faith Medical Transport LLC

• Speech-Language Pathologist in Triangle, VA
• Providers in Triangle, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.