Coastal Kids Speech Therapy LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

COASTAL KIDS SPEECH THERAPY LLC

Practice address

2953 Breezy Rd
Virginia Beach, VA 23451-1509

Phone

(248) 318-2992

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Prunty, MA CCC-SLPNPI 1336522713

Title

Speech Language Pathologist

Phone

(248) 318-2992

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Prunty

  • Speech-Language Pathologist
  • Virginia Beach, VA
  • NPI 1336522713
  NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1063280238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 BREEZY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 BREEZY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511509",
            "telephone_number": "248-318-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "PRUNTY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "248-318-2992",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Longevity LLC
• Coastal Medsurg, Inc.
• Coastal Neuro Speech Services PLLC

• Hearing and Speech Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Hearing and Speech Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.