Individual provider Active NPI

Ursula Peters

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1306140595
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07461 Issued in MD
Practice address
13407 Lydia St
Silver Spring, MD 20906-5225
Phone
(240) 740-0780
NPI assigned
Jan 2, 2011
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 07461 MD Primary

Addresses

Primary practice location

13407 Lydia St
Silver Spring, MD 20906-5225

Mailing address

850 Hungerford Dr
Rockville, MD 20850-1718
Phone (240) 740-5500

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
07461MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government CurrentSince May 12, 2024 Accepting new patients
Montgomery County Maryland Government CurrentSince Oct 1, 2023 Accepting new patients

Locations

13407 Lydia St
Silver Spring, MD 20906
Phone (240) 740-0780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1293926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1306140595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501718",
            "telephone_number": "240-740-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 LYDIA ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065225",
            "telephone_number": "240-740-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "URSULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-02",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.