Active NPI
Kristin Yoshiko Dattoria, SLP
- Speech-Language Pathologist
- Ashburn, VA
National Provider Identifier
1326645722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905 - Phone
- (847) 751-0045
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | MD | Primary |
Addresses
Primary practice location
20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905
Mailing address
2741 Loch Haven Dr
Ijamsville, MD 21754-8815
Phone (661) 618-0861
Other practice location 1
1305 Dares Beach Rd
Prince Frederick, MD 20678-4208
Phone (443) 550-8345
Other names 1
- Kristin Yoshiko Ladd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144
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": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1326645722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 LOCH HAVEN DR",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217548815",
"telephone_number": "661-618-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475905",
"telephone_number": "847-751-0045"
}
],
"practiceLocations": [
{
"address_1": "1305 Dares Beach Rd",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206784208",
"country_code": "US",
"telephone_number": "443-550-8345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DATTORIA",
"first_name": "KRISTIN",
"middle_name": "YOSHIKO",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "LADD",
"middle_name": "YOSHIKO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.