Individual provider Active NPI

Adrianna Rodriguez

  • Speech-Language Pathologist
  • Vienna, VA
National Provider Identifier
1508573981
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000867 Issued in VA
Practice address
8221 Old Courthouse Rd Ste 105
Vienna, VA 22182-3839
Phone
(732) 570-9775
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02454L MD
Speech-Language Pathologist 235Z00000X 2204000867 VA Primary

Addresses

Primary practice location

8221 Old Courthouse Rd Ste 105
Vienna, VA 22182-3839

Mailing address

1305 S Walter Reed Dr Apt 201
Arlington, VA 22204-4931
Phone (732) 570-9775

Other practice location 1

5272 River Rd Ste 100
Bethesda, MD 20816-1454
Phone (301) 718-1716

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
02454LMDMDSpeech-Language Pathologist
2204000867VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Studio Speech-Language Pathologist CurrentSince Nov 6, 2022 Accepting new patients

Locations

8221 Old Courthouse Rd
Ste 105
Vienna, VA 22182
Phone (703) 663-4808

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1508573981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S WALTER REED DR APT 201",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044931",
            "telephone_number": "732-570-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 OLD COURTHOUSE RD STE 105",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823839",
            "telephone_number": "732-570-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5272 River Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208161454",
            "country_code": "US",
            "telephone_number": "301-718-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ADRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02454L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.