Individual provider Active NPI

Devin Moore Shiple

  • Speech-Language Pathologist
  • Reston, VA
National Provider Identifier
1457178873
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001498 Issued in VA
Practice address
1768 Business Center Dr Ste 330
Reston, VA 20190-4882
Phone
(703) 679-7837
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 2204001498 VA Primary

Addresses

Primary practice location

1768 Business Center Dr Ste 330
Reston, VA 20190-4882

Mailing address

1637 21St Rd N Apt 10
Arlington, VA 22209-1153
Phone (703) 338-2023

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
2204001498VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidscare Home Health of Virginia LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

1768 Business Center Dr
Ste 330
Reston, VA 20190
Phone (703) 679-7837

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1457178873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 21ST RD N APT 10",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091153",
            "telephone_number": "703-338-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR STE 330",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904882",
            "telephone_number": "703-679-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLE",
        "first_name": "DEVIN",
        "middle_name": "MOORE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.