MS. KRISTEN NOELLE BERNARDUCCI (NPI# 1427549252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427549252 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN NOELLE BERNARDUCCI |
| Credential | M.S. CCC-SLP |
| Practice Address |
11150 Fairfax Blvd Ste 500 Fairfax VA 22030-5029 |
| Practice Telephone | 7035370373 |
| Mailing Telephone | 7035370373 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
11150 FAIRFAX BLVD STE 500 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823361 | Shannon M Lester | Speech-Language Pathologist | 11150 Fairfax Blvd Ste 500, Fairfax, VA 22030-5029 | 2017-07-07 |
| 1003428533 | Madison Ashlee Sunderland | Speech-Language Pathologist | 11150 Fairfax Blvd Ste 500, Fairfax, VA 22030-5029 | 2020-08-17 |
| 1710504378 | Emily O'brien | Speech-Language Pathologist | 11150 Fairfax Blvd Ste 500, Fairfax, VA 22030-5029 | 2020-06-30 |
| 1457862815 | Carly Ann Mccarthy | Speech-Language Pathologist | 11150 Fairfax Blvd Ste 500, Fairfax, VA 22030-5029 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282152 | Rachel Tsipora Chalom | Speech-Language Pathologist | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 | 2020-10-16 |
| 1629681861 | Magnolia Educational Services | Speech-Language Pathologist | 4403 Dixie Hill Rd Apt 205, Fairfax, VA 22030-9061 | 2020-08-27 |
| 1336635713 | Mary Pat Mcguire Peri | Speech-Language Pathologist | 9909 Laurel St, Fairfax, VA 22032-1013 | 2018-07-09 |
| 1538665740 | Amie Lynn Russian | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr Ofc, Fairfax, VA 22031-4511 | 2018-04-05 |
| 1679078794 | Katherine Willcox-bein | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr # 2128, Fairfax, VA 22031-4511 | 2018-03-29 |
| 1720580475 | Brandhorst Speech Therapy | Speech-Language Pathologist | 562 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2018-03-07 |
| 1427559533 | Stacey Allman | Speech-Language Pathologist | 8270 Willow Oaks Co Dr Ste 2131, Fairfax, VA 22031-4511 | 2018-02-23 |
| 1801397294 | Jonelle Craig Shipley | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr Ste 2129, Fairfax, VA 22031-4511 | 2018-02-22 |
| 1154822682 | Kristy Cannon | Speech-Language Pathologist | 8270 Willow Oaks Co Dr Ste 2129, Fairfax, VA 22031-4511 | 2018-02-21 |
| 1710487343 | Nicole Mariah Dobson | Speech-Language Pathologist | 9524 Old Creek Dr, Fairfax, VA 22032-1238 | 2018-02-20 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.