Active NPI
Debra Ann Kline Edwards
- Speech-Language Pathologist
- Virginia Beach, VA
National Provider Identifier
1316448475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202002073
- Practice address
- 2025 Kempsville Rd
Virginia Beach, VA 23464-6805 - Phone
- (757) 648-3840
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202002073 | VA | Primary |
Addresses
Primary practice location
2025 Kempsville Rd
Virginia Beach, VA 23464-6805
Mailing address
464 W Plantation Rd
Virginia Beach, VA 23454-4032
Phone (757) 651-0203
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202002073 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1316448475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 W PLANTATION RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544032",
"telephone_number": "757-651-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 KEMPSVILLE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646805",
"telephone_number": "757-648-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE EDWARDS",
"first_name": "DEBRA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202002073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.