Individual provider Active NPI

Anna Monina Mendoza Vanta, SLP CCC

  • Speech-Language Pathologist
  • Lorton, VA
National Provider Identifier
1912446261
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010931 Issued in VA
Practice address
10501 Greene Dr
Lorton, VA 22079-3540
Phone
(571) 289-4742
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202010931 VA Primary
Speech-Language Pathologist 235Z00000X SLP200001549 DC

Addresses

Primary practice location

10501 Greene Dr
Lorton, VA 22079-3540

Mailing address

10501 Greene Dr
Lorton, VA 22079-3540
Phone (571) 289-4742

Other practice location 1

6309 Grovedale Dr
Alexandria, VA 22310-2536
Phone (703) 848-5105

Other practice location 2

1331 H St NW Ste 200
Washington, DC 20005-4706
Phone (202) 734-4884

Other practice location 3

150 S Washington St Ste 203
Falls Church, VA 22046-2921
Phone (703) 606-6213

Other practice location 4

701 Howard Rd SE
Washington, DC 20020-7101
Phone (202) 734-4884

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
SLP200001549DCMDSpeech-Language Pathologist
2202010931VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1912446261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 GREENE DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793540",
            "telephone_number": "571-289-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 GREENE DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793540",
            "telephone_number": "571-289-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6309 Grovedale Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223102536",
            "country_code": "US",
            "telephone_number": "703-848-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 H St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200054706",
            "country_code": "US",
            "telephone_number": "202-734-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Washington St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220462921",
            "country_code": "US",
            "telephone_number": "703-606-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Howard Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200207101",
            "country_code": "US",
            "telephone_number": "202-734-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANTA",
        "first_name": "ANNA MONINA",
        "middle_name": "MENDOZA",
        "credential": "SLP CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010931",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP200001549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

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

Verify at the official NPI Registry.