Active NPI
Fern Andraos, M.ED., CCC-SLP
- Speech-Language Pathologist
- Annandale, VA
National Provider Identifier
1790093243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202006156
- Practice address
- 7617 Little River Tpke Ste 310
Annandale, VA 22003-2603 - Phone
- (703) 941-7757
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202006156 | VA | Primary |
Addresses
Primary practice location
7617 Little River Tpke Ste 310
Annandale, VA 22003-2603
Mailing address
1508 Summerchase CT Apt E
Reston, VA 20194-1157
Phone (757) 532-4190
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202006156 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skill Builders, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Skill Builders, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Annandale, VA
- NPI 1073515540
-
- Speech-Language Pathologist
- MC Lean, VA
- NPI 1508059221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1790093243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 SUMMERCHASE CT APT E",
"city": "RESTON",
"state": "VA",
"postal_code": "201941157",
"telephone_number": "757-532-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7617 LITTLE RIVER TPKE STE 310",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032603",
"telephone_number": "703-941-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRAOS",
"first_name": "FERN",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.