Individual provider Active NPI

Anita D Villines, M. ED., CCC- SLP

  • Speech-Language Pathologist
  • Woodbridge, VA
National Provider Identifier
1740795228
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1936 Opitz Blvd
Woodbridge, VA 22191-3360
Phone
(703) 492-3000
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 VA Primary

Addresses

Primary practice location

1936 Opitz Blvd
Woodbridge, VA 22191-3360

Mailing address

5340 Holmes Run Pkwy
Alexandria, VA 22304-2835
Phone (571) 214-6749

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)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Global Healthcare Services, LLC Speech-Language Pathologist CurrentSince Apr 3, 2018 Accepting new patients
Global Healthcare Services,LLC Past Accepting new patients

Locations

4528 Plank Rd
Ste A2
Fredericksburg, VA 22407
Phone (540) 841-4443

1936 Opitz Blvd
Woodbridge, VA 22191
Phone (540) 841-4443

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740795228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 HOLMES RUN PKWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042835",
            "telephone_number": "571-214-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913360",
            "telephone_number": "703-492-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLINES",
        "first_name": "ANITA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M. ED., CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.