Virginia Faith Dietrich, MA CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3455 Brentwood Dr
Baton Rouge, LA 70809-1640

Phone

(225) 244-9044

NPI assigned

Jun 5, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Triform Therapy LLC

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1487297388

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1629819230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LAKE BEAU PRE BLVD APT 65",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708204267",
            "telephone_number": "225-505-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BRENTWOOD DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091640",
            "telephone_number": "225-244-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "VIRGINIA",
        "middle_name": "FAITH",
        "credential": "MA CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Diehl
• Rachel Elizabeth Dier, DDS
• Dietary Manage in-Service Training and Staffing, Inc. (Hospitality and Senior Care Training Institute)
• Darin Dietiker, CPSS
• Patti Sanders Dietrich, MA CCC/SLP
• Andrea Louise Diez
• Jennifer Michele Diez, COTA
• Mallori Elizabeth Diez, LCSW
• Ella Chol Digby, PA-C
• Ethan Digerolamo

• Speech-Language Pathologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.