VICTORIA VANDERAA M.S., CCC-SLP/L
NPI 1063967479
Speech-Language Pathologist in Nashville, TN

Q: What is Victoria Vanderaa's NPI number?

The NPI number for Victoria Vanderaa is 1063967479. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Q: What is Victoria Vanderaa's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Vanderaa was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2016Accepts Medicare Assignment

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, May 17, 2023, Sep 23, 2021 and 3 more (6 updates tracked since 2016).

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About Victoria Vanderaa M.s., Ccc-slp/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA VANDERAA M.S., CCC-SLP/L (NPI 1063967479) is an individual speech-language pathologist provider in Nashville, Tennessee, licensed in Tennessee (7687) and active in the NPI registry since August 2016. She maintains a secondary practice location in Nashville and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063967479

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameVICTORIA VANDERAACredential: M.S., CCC-SLP/L

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-3360

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691

Phone(615) 322-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 16, 2016

Last NPPES UpdateJune 7, 20236 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1063967479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in TN · 7687✔ Licensed in IL · 242.004100

Definition

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.

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 11215 21st Ave S Ste 6209Nashville, TN 37232-3360 · Phone (615) 936-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Vanderaa M.s., Ccc-slp/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870955735

PECOS Enrollment IDI20240513000248, I20240604004190

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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