Kathleen Sibley, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007126 Issued in VA

Practice address

1438 Seymour Dr
South Boston, VA 24592-3916

Phone

(434) 517-9947

Fax

(434) 517-9949

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Danville Orthopedic and Athletic Rehabilitation, Inc.

  • Physical Therapist
  • Danville, VA
  • NPI 1881655298
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1265863401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 SEYMOUR DR",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923916",
            "telephone_number": "434-517-9947",
            "fax_number": "434-517-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SEYMOUR DR",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923916",
            "telephone_number": "434-517-9947",
            "fax_number": "434-517-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "KATHLEEN",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sentara Enterprises (Sentara Hospice)
• Sentara Enterprises (Sentara Home Care Services)
• Ashley Garvin Sharp, PA-C
• Fuad Shatila, MD
• Gregory Alan Shuford, MD
• Ruth Simon, LCSW
• Kelly Smith
• Minkyeong Son, DDS
• Soul Guided Healing Wellness LLC
• South Boston Behavioral Health LLC (Hopewood Recovery Center)

• Speech-Language Pathologist in South Boston, VA
• Providers in South Boston, 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 Dec 12, 2013; 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.