Individual provider Active NPI

Carmen Maria Musso

  • Speech-Language Pathologist
  • Culpeper, VA
National Provider Identifier
1710605373
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000968 Issued in VA
Practice address
471 James Madison Hwy
Culpeper, VA 22701-2362
Phone
(540) 825-3677
NPI assigned
Aug 19, 2022
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 2204000968 VA Primary
Speech-Language Pathologist 235Z00000X 2202011043 VA

Addresses

Primary practice location

471 James Madison Hwy
Culpeper, VA 22701-2362

Mailing address

471 James Madison Hwy
Culpeper, VA 22701-2362
Phone (540) 825-3677

Other practice location 1

13900 Hull Street Rd
Midlothian, VA 23112-2004
Phone (804) 639-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2202011043VAMDSpeech-Language Pathologist
2204000968VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1710605373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 JAMES MADISON HWY",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012362",
            "telephone_number": "540-825-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 JAMES MADISON HWY",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012362",
            "telephone_number": "540-825-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13900 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122004",
            "country_code": "US",
            "telephone_number": "804-639-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSO",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000968",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202011043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.