Active NPI
Stephanie J. Skibinski, MS-CCC/SLP
- Speech-Language Pathologist
- Fairfax, VA
National Provider Identifier
1558759746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202003347
- Practice address
- 11240 Waples Mill Rd
Ste.101
Fairfax, VA 22030-6078 - Phone
- (703) 237-2219
- NPI assigned
- Dec 23, 2014
- Last updated
- Dec 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202003347 | VA | Primary |
Addresses
Primary practice location
11240 Waples Mill Rd
Ste.101
Fairfax, VA 22030-6078
Mailing address
7718 Martin Allen CT.
Alexandria, VA 22315
Phone (703) 339-0214
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202003347 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1558759746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7718 MARTIN ALLEN CT.",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22315",
"telephone_number": "703-339-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 WAPLES MILL RD",
"address_2": "STE.101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306078",
"telephone_number": "703-237-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIBINSKI",
"first_name": "STEPHANIE",
"middle_name": "J.",
"credential": "MS-CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-23",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202003347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.