Provider Demographics
NPI:1538052758
Name:SCHACHTNER, JOANNA (AUD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:SCHACHTNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:GOEDEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224-D CORNWALL STREET, NW, STE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6010
Mailing Address - Fax:703-737-6010
Practice Address - Street 1:19490 SANDRIDGE WAY, SUITE 230
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3467
Practice Address - Country:US
Practice Address - Phone:703-858-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1538052758Medicaid