=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154691285
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL ANN JOACHIM M.S. CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2012
-----------------------------------------------------
Last Update Date | 07/25/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6804 FAIRWAY RIDGE RD
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24153-6925
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-621-9499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6804 FAIRWAY RIDGE RD
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24153-6925
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-621-9499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 2202005831
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------