Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871239293 Individual Practitioner Female Practitioner

Kaitlynn Nicole Wagner , CCC-SLP

Speech-Language Pathologist • Alexandria, VA

Professional Overview & Biography Verified Profile Summary

Kaitlynn Wagner, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Alexandria, VA. Practice services are available at 900 VIRGINIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Virginia Ave

Alexandria, VA 223023200

Telephone 7036849100
Associated Practice Facility / Clinic
🏢 Ruxton Health Care Vi, Llc Facility NPI 1568412831

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Alexandria, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
169 Specialists

Practicing in Alexandria, VA (4974 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 031767

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Margaret Mbinyi , FNP

Nurse Practitioner - Family

NPI 1104380716

Family Nurse Practitioner

Samantha Setlock

Physical Therapist

NPI 1134788524
Molly Chiron

Speech-Language Pathologist

NPI 1164043527
Anna Peaster

Speech-Language Pathologist

NPI 1457924995
Dr. Ahmed Elebiary , MD

Internal Medicine

NPI 1659719227

Doctor of Medicine (M.D.)

Dr. Cathy Eyi-Mensah , DPT

Physical Therapist

NPI 1902312671

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2022

Registered at 900 VIRGINIA AVE, ALEXANDRIA, VA 223023200 (Tel: 7036849100)

📍
Updated Business Mailing Address May 09, 2022

Registered at 306 ALVERSON AVE, STATEN ISLAND, NY 103091787 (Tel: 3472150165)

👤
Provider Name / Credentials Updated May 09, 2022

Recorded as KAITLYNN WAGNER, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2022

Speech-Language Pathologist (License #031767 in NY)

🟢
Initial NPI Registration & Enumeration May 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871239293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2022
Last Update: May 09, 2022
Sole Proprietor: Yes

Mailing Address

306 Alverson Ave

Staten Island, NY 103091787

Phone: 3472150165

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.