Andrea Pollack, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002862 Issued in VA

Practice address

13002 Monroe Manor Dr
Oak Hill, VA 20171-2908

Phone

(703) 834-2969

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Language Strides LLC

  • Speech-Language Pathologist
  • Oak Hill, VA
  • NPI 1972183390
  NPD Authorized official

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1962082396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13002 MONROE MANOR DR",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201712908",
            "telephone_number": "703-834-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 MONROE MANOR DR",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201712908",
            "telephone_number": "703-834-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "ANDREA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea@language-strides.com",
            "affiliation": "N",
            "endpointDescription": "electronic file transfer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13002 Monroe Manor Dr",
            "city": "Oak Hill",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201712908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josie Sy Keat, DDS
• Language Strides LLC
• Susan Theresa Lyons, M.A., CCC-SLP
• Emily Kathleen Marko, M.D.
• Robin Elizabeth Moyher
• Premier Dental Care, PC
• Putting Together Puzzle Pieces LLC
• Caroline Pearson Rich, OTD, OTR/L
• Riverbend Health Services LLC
• Susan Melton Schmieg, P.T.

• Speech-Language Pathologist in Oak Hill, VA
• Providers in Oak Hill, 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 9, 2021; 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.