Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992058317 Individual Practitioner Female Practitioner

Denise Nielson , SLP

Speech-Language Pathologist • Joint Base Langley-Eustis, VA

Professional Overview & Biography Verified Profile Summary

Denise Nielson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Joint Base Langley-Eustis, VA. Practice services are available at 77 NEALY AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 Nealy Avenue
633d Medical Group

Joint Base Langley-Eustis, VA 233652040

Telephone 7572257630
Associated Practice Facility / Clinic
🏢 633d Medgrp-Jb Langley Facility NPI 1720494834

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Joint Base Langley-Eustis, VA

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

Practicing in Joint Base Langley-Eustis, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-03-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202004457

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Asha
09136101

Secondary Practice Locations

620 John Paul Jones Cir

Portsmouth, VA 237082111

Phone: 8666454584

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 26, 2026

Registered at 77 NEALY AVE, HAMPTON, VA 236652040 (Tel: 7572259816)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Speech-Language Pathologist (License #2202004457 in VA)

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2016

Registered at 77 NEALY AVENUE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 233652040 (Tel: 7572257630)

📍
Updated Business Mailing Address September 02, 2016

Registered at 77 NEALY AVENUE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 233652040 (Tel: 7572257630)

👤
Provider Name / Credentials Updated September 02, 2016

Recorded as DENISE NIELSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Speech-Language Pathologist (License #112152 in TX)

🟢
Initial NPI Registration & Enumeration October 23, 2012

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: 1992058317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2012
Last Update: March 26, 2026
Sole Proprietor: Yes

Mailing Address

77 Nealy Ave

Hampton, VA 236652040

Phone: 7572259816

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.