Shenandoah Soundstart, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008058 Issued in VA

Legal business name

SHENANDOAH SOUNDSTART, LLC

Practice address

1330 Amherst St Ste D
Winchester, VA 22601-3020

Phone

(540) 514-8486

Fax

(540) 301-3618

NPI assigned

Aug 28, 2016

Last updated

Apr 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Lopez, MA, CCC-SLP

Title

Owner/ Speech Language Pathologist

Phone

(540) 514-8486

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Elizabeth Smith, MA CCC-SLP CERT AVT

  • Speech-Language Pathologist
  • Winchester, VA
  • NPI 1891976163
  Medicare reassignment NPD
• Samantha Staley Bauserman

  • Physical Therapist
  • Winchester, VA
  • NPI 1053089789
  NPD (past)
• Brooke A Butler, MS,SLP-L, TSSLD

  • Speech-Language Pathologist
  • Winchester, VA
  • NPI 1992053227
  NPD (past)
• Hailey Paige Dobrzynski

  • Speech-Language Pathologist
  • Winchester, VA
  • NPI 1780564047
  NPD (past)
• Andrea Poe, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Winchester, VA
  • NPI 1619752649
  NPD (past)
• Allysa Turel, M.S., OTR/L

  • Occupational Therapist
  • Winchester, VA
  • NPI 1841714318
  NPD (past)
• Audrey Winfield, PT, DPT

  • Pediatric Physical Therapist
  • Winchester, VA
  • NPI 1104797091
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1407302706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 AMHERST ST",
            "address_2": "SUITE D",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013000",
            "telephone_number": "540-514-8486",
            "fax_number": "540-301-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 AMHERST ST STE D",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013020",
            "telephone_number": "540-514-8486",
            "fax_number": "540-301-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH SOUNDSTART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER/ SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "540-514-8486",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891976163",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Winchester, VA
• Providers in Winchester, 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 Apr 5, 2018; 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.

Verify at the official NPI Registry.