Individual provider Active NPI

Robyn Vedomske, M.A.

  • Speech-Language Pathologist
  • Valencia, CA
National Provider Identifier
1487880472
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 13317 Issued in CA
Practice address
28093 Smyth Dr
Valencia, CA 91355-4023
Phone
(661) 295-0181
Fax
(661) 295-9776
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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 SP 13317 CA Primary

Addresses

Primary practice location

28093 Smyth Dr
Valencia, CA 91355-4023

Mailing address

25824 Parada Dr
Valencia, CA 91355-2418
Phone (661) 755-6597

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP 13317CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1487880472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25824 PARADA DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552418",
            "telephone_number": "661-755-6597",
            "fax_number": "661-295-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28093 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554023",
            "telephone_number": "661-295-0181",
            "fax_number": "661-295-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDOMSKE",
        "first_name": "ROBYN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 13317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.