Active NPI
Meredith Darden, SPEECH/LANG PATH
- Speech-Language Pathologist
- Fredericksburg, VA
National Provider Identifier
1972699767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202002710
- Practice address
- 600 Jackson St
Fredericksburg, VA 22401 - Phone
- (540) 373-3223
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202002710 | VA | Primary |
Addresses
Primary practice location
600 Jackson St
Fredericksburg, VA 22401
Mailing address
4 Kernwood Drive
Fredericksburg, VA 22407
Phone (540) 710-7024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295644 | Other | VA | MDIPA |
| 192571 | Other | VA | ANTHEM HEALTHK PLUS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202002710 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972699767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 KERNWOOD DRIVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22407",
"telephone_number": "540-710-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22401",
"telephone_number": "540-373-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDEN",
"first_name": "MEREDITH",
"credential": "SPEECH/LANG PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202002710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "295644",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHK PLUS",
"identifier": "192571",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.