VICTORIA VANDERAA (M.S., CCC-SLP/L) – Speech-Language Pathologist, NPI 1063967479
Speech-Language Pathologist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
202 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TN
Provider Addresses for VICTORIA VANDERAA (M.S., CCC-SLP/L)
1215 21st Ave S Ste 6209
Nashville, TN 372323360
Phone: (615) 936-5000
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372323360
Phone: (615) 322-5000
Type: Location
525 TYLER RD STE Q1
ST CHARLES, IL 601743360
Phone:
Type: Mailing
1215 21ST AVE S STE 6209
NASHVILLE, TN 372328718
Phone: (615) 936-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230809004144 | I | Qualified Speech Language Pathologist | TN | TBD |
| I20240513000248 | I | Qualified Speech Language Pathologist | IL | TBD |
| I20240604004190 | I | Qualified Speech Language Pathologist | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Speech Language Pathologist | CO | |
| Qualified Speech Language Pathologist | NC | |
| Qualified Speech Language Pathologist | IL | |
| Qualified Speech Language Pathologist | IN | |
| Qualified Speech Language Pathologist | OH | |
| Qualified Speech Language Pathologist | SC | |
| Qualified Speech Language Pathologist | MA | |
| Qualified Speech Language Pathologist | TX | |
| Qualified Speech Language Pathologist | CA | |
| Qualified Speech Language Pathologist | MO |
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