Individual provider Active NPI

Randi G Dwoskin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Frederick, MD
National Provider Identifier
1740600915
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05115 Issued in MD
Practice address
9104 Belvedere Dr
Frederick, MD 21704-7354
Phone
(301) 996-0054
Fax
(301) 874-2343
NPI assigned
Apr 25, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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 05115 MD Primary

Addresses

Primary practice location

9104 Belvedere Dr
Frederick, MD 21704-7354

Mailing address

9104 Belvedere Dr
Frederick, MD 21704-7354

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

LicenseStateTypeSpecialty
05115MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1740600915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BELVEDERE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BELVEDERE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047354",
            "telephone_number": "301-996-0054",
            "fax_number": "301-874-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWOSKIN",
        "first_name": "RANDI",
        "middle_name": "G",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.