Individual provider Active NPI

Victoria Haddaway, CF-SLP

  • Speech-Language Pathologist
  • Richmond, VA
National Provider Identifier
1952084584
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001238 Issued in VA
Practice address
4840 Waller Rd Ste 200
Richmond, VA 23230-2912
Phone
(804) 893-5010
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 2204001238 VA Primary

Addresses

Primary practice location

4840 Waller Rd Ste 200
Richmond, VA 23230-2912

Mailing address

3410 W Clay St Apt 319B
Richmond, VA 23230-4619
Phone (434) 210-6369

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
2204001238VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Therapy Group LLC Speech-Language Pathologist CurrentSince Aug 13, 2023 Accepting new patients

Locations

4840 Waller Rd
Ste 200
Richmond, VA 23230
Phone (804) 893-5010

Organizations & group practices 1

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1952084584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W CLAY ST APT 319B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304619",
            "telephone_number": "434-210-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 WALLER RD STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302912",
            "telephone_number": "804-893-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAWAY",
        "first_name": "VICTORIA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.