Individual provider Active NPI

Meredith Kotoski, MS CCC-SLP

  • Speech-Language Pathologist
  • Falls Church, VA
National Provider Identifier
1710323951
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006182 Issued in VA
Practice address
2030 Westmoreland St
Falls Church, VA 22043-1768
Phone
(703) 237-4550
Fax
(703) 237-4880
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07167 MD
Speech-Language Pathologist 235Z00000X 2202006182 VA Primary

Addresses

Primary practice location

2030 Westmoreland St
Falls Church, VA 22043-1768

Mailing address

2030 Westmoreland St
Falls Church, VA 22043-1768
Phone (703) 237-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509001930 DC Practitioner - Qualified Speech Language Pathologist 8729321930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

5000 Fairbanks Ave
Alexandria, VA 22311-1246
Phone (703) 578-7195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwin House Home and Community Based Services CurrentSince Nov 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1710323951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 WESTMORELAND ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431768",
            "telephone_number": "703-237-4550",
            "fax_number": "703-237-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WESTMORELAND ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431768",
            "telephone_number": "703-237-4550",
            "fax_number": "703-237-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOSKI",
        "first_name": "MEREDITH",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07167",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.