Active NPI
Monica Janette Robinson, M.S., CCC-SLP
- Speech-Language Pathologist
- Fredericksburg, VA
National Provider Identifier
1720169774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202009158
- Practice address
- 600 Jackson St
Fredericksburg, VA 22401-5719 - Phone
- (540) 373-3223
- Fax
- (540) 371-3753
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7457 | NC | |
| Speech-Language Pathologist | 235Z00000X | 2202009158 | VA | Primary |
Addresses
Primary practice location
600 Jackson St
Fredericksburg, VA 22401-5719
Mailing address
741 Kenilworth Avenue
Suite 100
Charlotte, NC 28204-3874
Phone (704) 523-8027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412706 | Medicaid | NC |
Other names 1
- Monica Broadnax
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7457 | NC | MD | Professional Counselor |
| 2202009158 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Speech and Hearing Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1578646865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1720169774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 KENILWORTH AVENUE",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043874",
"telephone_number": "704-523-8027",
"fax_number": "704-523-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015719",
"telephone_number": "540-373-3223",
"fax_number": "540-371-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MONICA",
"middle_name": "JANETTE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7457",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202009158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412706",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "BROADNAX",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.