IndividualActive
Londyn Jackson
NPI 1164077921 · Speech-Language Pathologist · Woodbridge, VA
Provider details
- NPI number
- 1164077921
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2204000315 (VA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15500 Benita Fitzgerald Dr
Woodbridge, VA 22193-8523
Phone: (703) 583-4195
Street-level locationGet directions
Mailing address
4059 Tarpon Ln
Woodbridge, VA 22193-2332
Additional practice locations (1)
- 2019 Cunningham Dr Ste 104Hampton, VA 23666-3316Phone: (757) 869-7559
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.