Augusta Zende Yezierski, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009535 Issued in VA

Practice address

2949 Fox Chase LN
Midlothian, VA 23112-4400

Phone

(804) 430-3361

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Augusta Zende Reisling Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Speech Therapy for All PC

  • Speech-Language Pathologist
  • Riverhead, NY
  • NPI 1568085439
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1316505431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14544 SAILBOAT CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124372",
            "telephone_number": "614-657-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124400",
            "telephone_number": "804-430-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 Dogtown Rd",
            "address_purpose": "LOCATION",
            "city": "Goochland",
            "state": "VA",
            "postal_code": "230632424",
            "country_code": "US",
            "telephone_number": "804-556-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4238 James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "Fork Union",
            "state": "VA",
            "postal_code": "23055",
            "country_code": "US",
            "telephone_number": "434-842-2916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Lucy Corr Ct",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238326657",
            "country_code": "US",
            "telephone_number": "804-748-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEZIERSKI",
        "first_name": "AUGUSTA",
        "middle_name": "ZENDE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000272",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "augusta.yezierski@powerbackrehab.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9100 Bon Air Crossings Dr",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUGUSTA",
            "last_name": "REISLING",
            "middle_name": "ZENDE",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Glidewell Yates
• Payton Alyse Yates
• Shawni Yeager, PA-C
• Donald E. Yeatts, M.D., D.D.S.
• Daniel Yebo, M.D.
• Jungmin Yoo
• Brittany N Young, LPC, CSAC, CCTP
• Gretchen Young
• Olivia Young
• Reagan Young

• Speech-Language Pathologist in Midlothian, VA
• Providers in Midlothian, 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 5, 2024; 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.