Beth Dudek

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2203000657 Issued in VA

Practice address

7270 Riley Rd
Warrenton, VA 20187-8942

Phone

(540) 422-7410

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1770071474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 DIXIE HILL RD APT 404",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220309090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 RILEY RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201878942",
            "telephone_number": "540-422-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4048 Zulla Rd",
            "address_purpose": "LOCATION",
            "city": "The Plains",
            "state": "VA",
            "postal_code": "201982149",
            "country_code": "US",
            "telephone_number": "540-422-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07017",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Borrello Duda
• Thomas P Duggan, LCSW
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• Maria Nina Domingo Dunn, M.D.
• Maria Elena Aquino Dwyer, PT
• Sung Sun Dye

• Speech-Language Pathologist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.