Individual provider Active NPI

Rachel Tsipora Chalom, CF-SLP

  • Speech-Language Pathologist
  • Fairfax, VA
National Provider Identifier
1780282152
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000577 Issued in VA
Practice address
10565 Fairfax Blvd Ste 200
Fairfax, VA 22030-3104
Phone
(301) 718-1716
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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 2204000577 VA Primary

Addresses

Primary practice location

10565 Fairfax Blvd Ste 200
Fairfax, VA 22030-3104

Mailing address

1916 17TH St NW Apt 4
Washington, DC 20009-6203
Phone (954) 376-9895

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

State licenses

LicenseStateTypeSpecialty
2204000577VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Choose Kind Therapy Speech-Language Pathologist CurrentSince Apr 10, 2022 Accepting new patients

Organizations & group practices 1

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1780282152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 17TH ST NW APT 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096203",
            "telephone_number": "954-376-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 FAIRFAX BLVD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303104",
            "telephone_number": "301-718-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALOM",
        "first_name": "RACHEL",
        "middle_name": "TSIPORA",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.