Organization Active NPI

Daisy Pediatric Speech Therapy Services

  • Speech-Language Pathologist
  • Portsmouth, VA
National Provider Identifier
1043966492
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DAISY PEDIATRIC SPEECH THERAPY SERVICES
Practice address
10 Mast Court
Portsmouth, VA 23703
Phone
(757) 997-2537
Fax
(757) 432-3227
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Mrs. Kie'Rra T. Loftin, MA. CCC-SLPNPI 1285915124
Title
Owner/Speech-Language Pathologist
Phone
(757) 632-2456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

10 Mast Court
Portsmouth, VA 23703

Mailing address

5705 Lynnhaven Pkwy Ste 104 PMB 1227
Virginia Beach, VA 23464-8533
Phone (757) 632-2456

National Provider Directory

National Provider Directory

Locations

5705 Lynnhaven Pkwy
Ste 104
Virginia Beach, VA 23464
Phone (704) 561-1143

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1043966492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 LYNNHAVEN PKWY STE 104 PMB 1227",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648533",
            "telephone_number": "757-632-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAST COURT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-997-2537",
            "fax_number": "757-432-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY PEDIATRIC SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "LOFTIN",
        "authorized_official_first_name": "KIE'RRA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "757-632-2456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.