Trista Baxter Kogut, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009350 Issued in VA

Practice address

8115 Gatehouse Rd
Falls Church, VA 22042-1203

Phone

(571) 423-1120

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Syracuse City School District

  • Local Education Agency (LEA)
  • Syracuse, NY
  • NPI 1689731853
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1598047573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 MARILYN DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101554",
            "telephone_number": "315-559-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 GATEHOUSE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421203",
            "telephone_number": "571-423-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "TRISTA",
        "middle_name": "BAXTER",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017097",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Anne Knapick, PT, DPT
• Rachel Knuth, MD
• James F. Koch, MD
• Adam Adiv Kochman, MD
• Keith Christopher Kocis, MD
• Konstantinos Kohilas, MD
• Susan E Kohn, MD
• Gulam-Mohmed M Kolia, MD FACC
• Nikolas Dimitri Kolocuris, CRNA
• Rebecca Lynn Kolssak, LPCC-S, LPC, LCPC

• Speech-Language Pathologist in Falls Church, VA
• Providers in Falls Church, 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 May 13, 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.