Carrie Elizabeth Smith, MA CCC-SLP CERT AVT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008058 Issued in VA

Practice address

1330 Amherst St
Suite D
Winchester, VA 22601-3000

Phone

(540) 514-8486

Fax

(540) 301-3618

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Carrie Elizabeth Lopez Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Shenandoah Soundstart, LLC

  • Speech-Language Pathologist
  • Winchester, VA
  • NPI 1407302706
  Medicare reassignment NPD

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1891976163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 CLAYTON RIDGE DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016393",
            "telephone_number": "501-707-5873",
            "fax_number": "540-301-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 AMHERST ST",
            "address_2": "SUITE D",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013000",
            "telephone_number": "540-514-8486",
            "fax_number": "540-301-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP CERT AVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1660",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LOPEZ",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Roger Sluss II, MD
• Smiles of Virginia Family Dental Center, PLLC
• Alyssa Smith
• Amanda Smith, PHARMD
• Buck Smith, PHARMD
• Charles Smith, LPC
• Charles W Smith IV, D.D.S.
• Christina L Smith
• Douglas Lamont Smith, PHARM.D.
• Edward Paul Smith, MD

• Speech-Language Pathologist in Winchester, VA
• Providers in Winchester, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.

Verify at the official NPI Registry.