Individual provider Active NPI

Kimberly McPhee, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Fairfax, VA
National Provider Identifier
1700918422
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
656594 Issued in MD
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

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20111102000225 DC Practitioner - Qualified Speech Language Pathologist 5698948982 Reassigns benefits to 1 organization

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
Elliot R Goldstein MD and Joel R Schulman MD PAGroup PAC ID 9335120278, 39 clinicians

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

LicenseStateTypeSpecialty
656594MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Jan 16, 2018 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Jan 16, 2018 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.

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.

Verify at the official NPI Registry.