Active NPI
Rachael Frances Lindgren Ackerman
- Speech-Language Pathologist
- Vienna, VA
National Provider Identifier
1871016543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202008226
- Practice address
- 2106 Gallows Rd # G
Vienna, VA 22182-3961 - Phone
- (571) 766-8455
- Fax
- (703) 665-1241
- NPI assigned
- Jul 25, 2017
- 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 | 2202008226 | VA | Primary |
Addresses
Primary practice location
2106 Gallows Rd # G
Vienna, VA 22182-3961
Mailing address
4463 Edsall Dr
Woodbridge, VA 22193
Phone (765) 438-9487
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202008226 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1871016543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4463 EDSALL DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22193",
"telephone_number": "765-438-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 GALLOWS RD # G",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823961",
"telephone_number": "571-766-8455",
"fax_number": "703-665-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "RACHAEL",
"middle_name": "FRANCES LINDGREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.