Individual provider Active NPI

Rachael Zimmerman

  • Speech-Language Pathologist
  • Chesapeake, VA
National Provider Identifier
1760152284
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SPCFY-1245 Issued in WY
Practice address
1100 Volvo Pkwy Ste 320
Chesapeake, VA 23320-3341
Phone
(757) 606-0531
Fax
(866) 266-0815
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 SPCFY-1245 WY Primary

Addresses

Primary practice location

1100 Volvo Pkwy Ste 320
Chesapeake, VA 23320-3341

Mailing address

1100 Volvo Pkwy Ste 320
Chesapeake, VA 23320-3341
Phone (757) 606-0531

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

State licenses

LicenseStateTypeSpecialty
SPCFY-1245WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kiernan Speech Therapy LLC CurrentSince Sep 30, 2022 Accepting new patients
TLC Therapy 4 Kids LLC Speech-Language Pathologist Past Accepting new patients

Locations

1100 Volvo Pkwy
Ste 320
Chesapeake, VA 23320
Phone (757) 606-0531

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1760152284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 VOLVO PKWY STE 320",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203341",
            "telephone_number": "757-606-0531",
            "fax_number": "866-266-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VOLVO PKWY STE 320",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203341",
            "telephone_number": "757-606-0531",
            "fax_number": "866-266-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "RACHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SPCFY-1245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.