Phaedra M Eltawila Almajid

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-000337 Issued in DC

Practice address

2106 Gallows Rd # E
Vienna, VA 22182-3961

Phone

(571) 766-8455

Fax

(703) 665-1241

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daydreams-Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Fairfax, VA
  • NPI 1164251278
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1568778587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 NORTHERN NECK DR",
            "address_2": "SUITE 201",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825566",
            "telephone_number": "202-999-9317",
            "fax_number": "703-665-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 GALLOWS RD # E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823961",
            "telephone_number": "571-766-8455",
            "fax_number": "703-665-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAWILA ALMAJID",
        "first_name": "PHAEDRA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP-000337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568778587",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Krueger Ellis, N.P.
• Mary Anne Ellis, JD,PSYD
• Rebecca Ellison, LCSW
• Dania Elmardi
• Aya Adel Eltahir, LCSW
• Marcus Oliver Emad, DDS
• Neal R Emad, DDS
• Sahar Moghadam Emami, OD
• Emergency Medicine Associates PA PC
• Emergency USA, Inc. (Emergency USA Family Medical Center)

• Speech-Language Pathologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.