Emily Gonzalez, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007617 Issued in VA

Practice address

3940 Prince William Pkwy
Rehab Department
Woodbridge, VA 22192-4513

Phone

(703) 763-5426

Fax

(505) 468-8731

NPI assigned

Oct 21, 2008

Last updated

Jan 14, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• The Weston Group Inc.

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1023900099
  Medicare reassignment

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1962654004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 PRINCE WILLIAM PKWY",
            "address_2": "REHAB DEPARTMENT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924513",
            "telephone_number": "703-763-5426",
            "fax_number": "505-468-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 PRINCE WILLIAM PKWY",
            "address_2": "REHAB DEPARTMENT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924513",
            "telephone_number": "703-763-5426",
            "fax_number": "505-468-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EMILY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2715",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Care Agency LLC
• Golden Life LLC
• Reza Golesorkhi, MD
• Gabriella A Gomez, WHNP
• Tony Melville Gonsalves, D.O.
• Tammy Gonzalez
• Good Custodian Services, LLC
• Good Custodian Services, LLC
• Good Grounds Health Co
• Good Shepherd Transportation LLC

• Speech-Language Pathologist in Woodbridge, VA
• Providers in Woodbridge, 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 Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.