Active NPI
Madison Lorene Brumbaugh
- Speech-Language Pathologist
- Vienna, VA
National Provider Identifier
1558974154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPCF000078
- Practice address
- 8229 Boone Blvd Ste 660
Vienna, VA 22182-2657 - Phone
- (703) 821-1363
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204000575 | VA | |
| Speech-Language Pathologist | 235Z00000X | SLPCF000078 | DC | Primary |
Addresses
Primary practice location
8229 Boone Blvd Ste 660
Vienna, VA 22182-2657
Mailing address
3804 Rodman St NW Apt 201
Washington, DC 20016-2862
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | readingllcenter.com |
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 |
|---|---|---|---|
| SLPCF000078 | DC | MD | Speech-Language Pathologist |
| 2204000575 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1558974154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 RODMAN ST NW APT 201",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8229 BOONE BLVD STE 660",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822657",
"telephone_number": "703-821-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMBAUGH",
"first_name": "MADISON",
"middle_name": "LORENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204000575",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLPCF000078",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "readingllcenter.com",
"affiliation": "N",
"address_1": "8229 Boone Blvd Ste 660",
"city": "Vienna",
"state": "VA",
"country_code": "US",
"postal_code": "221822657",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.