Individual provider Active NPI

Kie'Rra T. Loftin, MA. CCC-SLP

  • Speech-Language Pathologist
  • Portsmouth, VA
National Provider Identifier
1285915124
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
10 Mast CT
Portsmouth, VA 23703-5384
Phone
(757) 632-2456
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

10 Mast CT
Portsmouth, VA 23703-5384

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daisy Pediatric Speech Therapy Services Speech-Language Pathologist CurrentSince Aug 28, 2022 Accepting new patients

Locations

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1285915124",
    "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 CT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035384",
            "telephone_number": "757-632-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIN",
        "first_name": "KIE'RRA",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "MA. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_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.