Active NPI
Kathy Rafal, MS, CCC-SLP
- Speech-Language Pathologist
- Zion Crossroads, VA
National Provider Identifier
1831214147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202001932
- 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, 2024
- 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 | 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.