Active NPI
Maria Bucciarelli
- Speech-Language Pathologist
- Woodbridge, VA
National Provider Identifier
1316322175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202007919
- Practice address
- 14130 Noblewood PLZ Ste 301
Woodbridge, VA 22193-1467 - Phone
- (571) 402-7550
- NPI assigned
- Jul 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202007919 | VA | Primary |
Addresses
Primary practice location
14130 Noblewood PLZ Ste 301
Woodbridge, VA 22193-1467
Mailing address
910 Old Logger Road
PO Box 1114
Moscow, PA 18444-8614
Phone (570) 351-4199
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1316322175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 OLD LOGGER ROAD",
"address_2": "PO BOX 1114",
"city": "MOSCOW",
"state": "PA",
"postal_code": "184448614",
"telephone_number": "570-351-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14130 NOBLEWOOD PLZ STE 301",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221931467",
"telephone_number": "571-402-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCCIARELLI",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202007919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.