NPIMap

Organization Active NPI

Ellen Edwards, PLLC

  • Speech-Language Pathologist
  • Herndon, VA
National Provider Identifier
1619076601
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202002947 Issued in VA
Legal business name
ELLEN EDWARDS, PLLC
Doing business as
Reston Speech & Language Center
Practice address
626 Grant St Ste K
Herndon, VA 20170-4700
Phone
(703) 904-8334
Fax
(703) 904-8334
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Ms. Ellen Edwards, M.S., CCC-SLP
Title
Director
Phone
(703) 904-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2202002947 VA Primary

Addresses

Primary practice location

626 Grant St Ste K
Herndon, VA 20170-4700

Mailing address

626 Grant St Ste K
Herndon, VA 20170-4700
Phone (703) 904-8334

Other names 1

  • Reston Speech & Language Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1619076601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 GRANT ST STE K",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704700",
            "telephone_number": "703-904-8334",
            "fax_number": "703-904-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 GRANT ST STE K",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704700",
            "telephone_number": "703-904-8334",
            "fax_number": "703-904-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN EDWARDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-904-8334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reston Speech & Language Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.