Active NPI
Jaimee R Traub, M.S, CCC-SLP
- Speech-Language Pathologist
- Charlottesville, VA
National Provider Identifier
1891124418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202004627
- Practice address
- 417 Emmet Street South
Charlottesville, VA 22904-4270 - Phone
- (434) 924-7034
- Fax
- (434) 924-4621
- NPI assigned
- Nov 4, 2013
- 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 | 2202004627 | VA | Primary |
Addresses
Primary practice location
417 Emmet Street South
Charlottesville, VA 22904-4270
Mailing address
PO Box 400270
417 Emmet Street South
Charlottesville, VA 22904-4270
Phone (434) 924-7034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004627 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rector & Visitors of the University of Virginia | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Speech-Language Pathologist | Current | Accepting new patients |
Locations
417 Emmet St S
Charlottesville, VA 22903
Phone (434) 924-7034
Organizations & group practices 3
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.
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
-
dba UVA Speech Language Hearing Center
- Speech-Language Pathologist
- Charlottesville, VA
- NPI 1992770051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1891124418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400270",
"address_2": "417 EMMET STREET SOUTH",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229044270",
"telephone_number": "434-924-7034",
"fax_number": "434-924-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 EMMET STREET SOUTH",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229044270",
"telephone_number": "434-924-7034",
"fax_number": "434-924-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUB",
"first_name": "JAIMEE",
"middle_name": "R",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.