Individual provider Active NPI

Kathryn D. Rincon

  • Speech-Language Pathologist
  • Falls Church, VA
National Provider Identifier
1487951224
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010909 Issued in VA
Practice address
307 Annandale Rd Ste 208
Falls Church, VA 22042-2454
Phone
(202) 417-6609
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 2202010909 VA Primary

Addresses

Primary practice location

307 Annandale Rd Ste 208
Falls Church, VA 22042-2454

Mailing address

307 Annandale Rd Ste 208
Falls Church, VA 22042-2454
Phone (202) 417-6609

Other practice location 1

450 W Broad St Ste 215
Falls Church, VA 22046-3318
Phone (703) 533-8819

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
2202010909VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brainstorm Consulting LLC Past Accepting new patients
Metzger Gilbert Childrens Speech Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1487951224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 ANNANDALE RD STE 208",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422454",
            "telephone_number": "202-417-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 ANNANDALE RD STE 208",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422454",
            "telephone_number": "202-417-6609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Broad St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463318",
            "country_code": "US",
            "telephone_number": "703-533-8819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINCON",
        "first_name": "KATHRYN",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.