Individual provider Active NPI

Natalia Wittek, M.ED., CF-SLP

  • Speech-Language Pathologist
  • Alexandria, VA
National Provider Identifier
1538735642
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000476 Issued in VA
Practice address
7116 Fort Hunt Rd
Alexandria, VA 22307-1900
Phone
(703) 768-0234
NPI assigned
May 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2021

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 2204000476 VA Primary

Addresses

Primary practice location

7116 Fort Hunt Rd
Alexandria, VA 22307-1900

Mailing address

1719 N Troy St Apt 393
Arlington, VA 22201-3221
Phone (980) 875-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231221000090 VA Practitioner - Qualified Speech Language Pathologist 7618327313 Reassigns benefits to 1 organization
I20231222001552 DC Practitioner - Qualified Speech Language Pathologist 7618327313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

3365 Ogden Rd
Roanoke, VA 24018-1151
Phone 5406827506506

5901 Macarthur Blvd NW
Washington, DC 20016-2541
Phone (202) 244-6800

7112 Braddock Rd
Annandale, VA 22003-6007
Phone (919) 825-1738

7116 Fort Hunt Rd
Alexandria, VA 22307-1900
Phone (571) 257-6874

7820 Baltusrol Blvd
Gainesville, VA 20155-3270
Phone (571) 284-7342

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2204000476VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc Speech-Language Pathologist CurrentSince Nov 27, 2023 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Nov 27, 2023 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Nov 27, 2023 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

Organizations & group practices 3

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": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1538735642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 N TROY ST APT 393",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013221",
            "telephone_number": "980-875-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 FORT HUNT RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071900",
            "telephone_number": "703-768-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTEK",
        "first_name": "NATALIA",
        "credential": "M.ED., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.