Individual provider Active NPI

Ada Cruz Wozniak

  • Speech-Language Pathologist
  • Winchester, VA
National Provider Identifier
1982155958
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202008380 Issued in VA
Practice address
523 S Cameron St
Apt. # 4
Winchester, VA 22601-4686
Phone
(503) 919-0320
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202008380 VA Primary
Speech-Language Pathologist 235Z00000X 13152 OR

Addresses

Primary practice location

523 S Cameron St
Apt. # 4
Winchester, VA 22601-4686

Mailing address

523 S Cameron St
Apt. # 4
Winchester, VA 22601-4686

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
13152ORMDSpeech-Language Pathologist
2202008380VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1982155958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S CAMERON ST",
            "address_2": "APT. # 4",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S CAMERON ST",
            "address_2": "APT. # 4",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014686",
            "telephone_number": "503-919-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ WOZNIAK",
        "first_name": "ADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008380",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.