Individual provider Active NPI

Jenna Krakauer

  • Speech-Language Pathologist
  • Fairfax, VA
National Provider Identifier
1891585436
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14359280 Issued in VA
Practice address
11150 Fairfax Blvd
Fairfax, VA 22030-5066
Phone
(703) 537-0373
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 14359280 VA Primary

Addresses

Primary practice location

11150 Fairfax Blvd
Fairfax, VA 22030-5066

Mailing address

2630 Adams Mill Rd NW Unit 209
Washington, DC 20009-2152
Phone (262) 825-6922

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

LicenseStateTypeSpecialty
14359280VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA PastSince May 11, 2025 Accepting new patients
Washington Speech-Language Pathology Group PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1891585436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 ADAMS MILL RD NW UNIT 209",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092152",
            "telephone_number": "262-825-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 FAIRFAX BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305066",
            "telephone_number": "703-537-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKAUER",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "14359280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.