Individual provider Active NPI

Kendis Respess McAden, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1780929554
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003345 Issued in VA
Practice address
5015 Lee Hwy
Arlington, VA 22207-2532
Phone
(703) 623-1806
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 2202003345 VA Primary

Addresses

Primary practice location

5015 Lee Hwy
Arlington, VA 22207-2532

Mailing address

8409 Idylwood Rd
Vienna, VA 22182-5174
Phone (703) 975-1530

Other identifiers 2

IdentifierTypeStateIssuer
12014126OtherVAASHA
2202003345OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

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 Arts

State licenses

LicenseStateTypeSpecialty
2202003345VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1780929554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 IDYLWOOD RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825174",
            "telephone_number": "703-975-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 LEE HWY",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072532",
            "telephone_number": "703-623-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADEN",
        "first_name": "KENDIS",
        "middle_name": "RESPESS",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12014126",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2202003345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.