Individual provider Active NPI

Kathy Rafal, MS, CCC-SLP

  • Speech-Language Pathologist
  • Zion Crossroads, VA
National Provider Identifier
1831214147
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202001932 Issued in VA
Practice address
70 Jefferson CT Ste 102
Zion Crossroads, VA 22942-9604
Phone
(540) 832-3061
Fax
(540) 832-3062
NPI assigned
Mar 20, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 2202001932 VA Primary

Addresses

Primary practice location

70 Jefferson CT Ste 102
Zion Crossroads, VA 22942-9604

Mailing address

PO Box 412307
Boston, MA 02241-2307

Other practice location 1

109 Crofton Pl
Palmyra, VA 22963-3300
Phone (434) 589-9588

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1831214147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JEFFERSON CT STE 102",
            "city": "ZION CROSSROADS",
            "state": "VA",
            "postal_code": "229429604",
            "telephone_number": "540-832-3061",
            "fax_number": "540-832-3062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Crofton Pl",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229633300",
            "country_code": "US",
            "telephone_number": "434-589-9588",
            "fax_number": "434-200-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFAL",
        "first_name": "KATHY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion Crossroads, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.