Active NPI
Kimberly McPhee, M.S. CCC-SLP
- Speech-Language Pathologist
- Fairfax, VA
National Provider Identifier
1700918422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 656594
- Practice address
- 11150 Fairfax Blvd
Suite 500
Fairfax, VA 22030-5066 - Phone
- (703) 537-0373
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 656594 | MD | Primary |
Addresses
Primary practice location
11150 Fairfax Blvd
Suite 500
Fairfax, VA 22030-5066
Mailing address
11150 Fairfax Blvd
Ste 500
Fairfax, VA 22030-5029
Phone (703) 537-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone (301) 468-8999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 656594 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot R Goldstein MD & Joel R Schulman MD PA | Current | Accepting new patients | |
| Elliot R Goldstein MD & Joel R Schulman MD PA | Current | Accepting new patients | |
| Washington Speech-Language Pathology Group PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999
11150 Fairfax Blvd
Ste 500
Fairfax, VA 22030
Phone (703) 537-0373
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1164488300
DC
-
- Speech-Language Pathologist
- Fairfax, VA
- NPI 1568743219
-
- Durable Medical Equipment & Medical Supplies
- Gaithersburg, MD
- NPI 1679342422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1700918422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 FAIRFAX BLVD",
"address_2": "STE 500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305029",
"telephone_number": "703-537-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 FAIRFAX BLVD",
"address_2": "SUITE 500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305066",
"telephone_number": "703-537-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHEE",
"first_name": "KIMBERLY",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "656594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.