Organization Active NPI

Chosen One Therapies, Inc

  • Specialist
  • Fredericksburg, VA
National Provider Identifier
1730494329
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHOSEN ONE THERAPIES, INC
Practice address
10851 Tidewater Trial
#103
Fredericksburg, VA 22408-0260
Phone
(571) 330-8120
Fax
(877) 771-3419
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Ms. Deniece M Payne, MS-SLP, MED
Title
Clinical Director
Phone
(571) 330-8120

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
InterpreterGroup: 193200000X MULTI-SPECIALTY GROUP 171R00000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

10851 Tidewater Trial
#103
Fredericksburg, VA 22408-0260

Mailing address

17775 Main St
Ste 104
Dumfries, VA 22026-2491
Phone (540) 693-6997

Other identifiers 3

IdentifierTypeStateIssuer
1730494329MedicaidVA
C10948OtherVAGROUP PROVIDER (PTAN)
1073788931MedicaidVA

National Provider Directory

National Provider Directory

Locations

17775 Main St
Ste 104
Dumfries, VA 22026
Phone (540) 693-6997

10851 Tidewater Trl
#103
Fredericksburg, VA 22408
Phone (540) 693-6007

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1730494329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17775 MAIN ST",
            "address_2": "STE 104",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262491",
            "telephone_number": "540-693-6997",
            "fax_number": "877-771-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 TIDEWATER TRIAL",
            "address_2": "#103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080260",
            "telephone_number": "571-330-8120",
            "fax_number": "877-771-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN ONE THERAPIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DENIECE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "571-330-8120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS-SLP, MED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730494329",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER (PTAN)",
            "identifier": "C10948",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073788931",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 24, 2014; 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.