Alicia Antoinette Kent, M.S., ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004492 Issued in VA

Practice address

2135 General Booth Blvd
Suite 152
Virginia Beach, VA 23454-5881

Phone

(757) 430-8828

Fax

(757) 430-8189

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083638092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 GOOSE LNDG",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516520",
            "telephone_number": "757-422-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 GENERAL BOOTH BLVD",
            "address_2": "SUITE 152",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545881",
            "telephone_number": "757-430-8828",
            "fax_number": "757-430-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "ALICIA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "M.S., ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4980701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J. Cavallari, DDS, PC
• Brenna Alyssa Kenney, MSN, FNP-C
• Tigist C Kenney, RN, BSN
• Ruth Kime Kenslow, LCSW
• Kent Integrative Physical Therapy LLC
• Caroline Kent
• Dean E Kent, DDS
• James Edwin Kent, LPC
• Shirley Kent, DPT
• Thomas Kent, DDS

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jul 8, 2007; 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.