Individual provider Active NPI

Kay Christel Peemoeller

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1033717939
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000583 Issued in VA
Practice address
2213 Round Hill Dr
Virginia Beach, VA 23464-8855
Phone
(757) 648-2520
Fax
(757) 471-5817
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2204000583 VA Primary

Addresses

Primary practice location

2213 Round Hill Dr
Virginia Beach, VA 23464-8855

Mailing address

2213 Round Hill Dr
Virginia Beach, VA 23464-8855
Phone (757) 648-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2204000583VAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1033717939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 ROUND HILL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648855",
            "telephone_number": "757-648-2520",
            "fax_number": "757-471-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 ROUND HILL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648855",
            "telephone_number": "757-648-2520",
            "fax_number": "757-471-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEMOELLER",
        "first_name": "KAY",
        "middle_name": "CHRISTEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.