Kristen Love Destiny Charnock, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009371 Issued in VA

Practice address

23296 Courthouse Ave
Accomac, VA 23301

Phone

(757) 787-5754

NPI assigned

Sep 9, 2021

Last updated

Oct 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1053080424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31053 CONQUEST FARM LN",
            "city": "HALLWOOD",
            "state": "VA",
            "postal_code": "233592662",
            "telephone_number": "757-894-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23296 COURTHOUSE AVE",
            "city": "ACCOMAC",
            "state": "VA",
            "postal_code": "23301",
            "telephone_number": "757-787-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNOCK",
        "first_name": "KRISTEN",
        "middle_name": "LOVE DESTINY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin McMath Beck, SLP
• Bortnick & Furman, P.C. (Accomac Optometric Center)
• Mary Elizabeth Brenner, MPT
• Jennifer Bridges, MPT
• Catherine Lynne Brown, WHNP
• Coastal Counseling & Consulting
• Commonwealth of Virginia State Board of Health (Accomack County Health Department)
• Patricia Umlauf Dawson, LCSW
• Maisie S Grizzle, CCC-SLP
• Leslie M Holt, PT

• Speech-Language Pathologist in Accomac, VA
• Providers in Accomac, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.