Cassidy Kushner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010768 Issued in VA

Practice address

120 Bellview Ave
Winchester, VA 22601-3142

Phone

(540) 542-0200

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spec Educ Dist Lake Co Sedol

  • Local Education Agency (LEA)
  • Gages Lake, IL
  • NPI 1013046614
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1922511955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LIKENS WAY",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027636",
            "telephone_number": "203-215-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BELLVIEW AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013142",
            "telephone_number": "540-542-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013269",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H Kumar, MD
• Nancy Kunjukunju, MD
• Edward S Kurz, MD
• Nell B Kushlak, LCSW
• Paul Alexander Kushlak, DPM
• Sara J Kuykendall, RD
• Nicole Danielle La Piana, PT, DPT
• Laboratory Corporation of America
• Hugh Labree, FNP-C
• Lauren Ladd

• 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 Apr 24, 2023; 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.