Individual provider Active NPI

Kathryn Vick

  • Speech-Language Pathologist
  • Richmond, VA
National Provider Identifier
1336550730
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007336 Issued in VA
Practice address
9211 Forest Hill Ave
Suite 101
Richmond, VA 23235
Phone
(804) 924-4047
Fax
(804) 464-1185
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 2202007336 VA Primary

Addresses

Primary practice location

9211 Forest Hill Ave
Suite 101
Richmond, VA 23235

Mailing address

9562 Kings Charter Dr
Ashland, VA 23005-8065

Other practice location 1

906 Thompson St
Ashland, VA 23005-1128
Phone (804) 798-3291

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202007336VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Speech and Swallowing Speech-Language Pathologist CurrentSince Feb 4, 2024 Accepting new patients
Henrico County Public School PastSince Aug 1, 2020 Accepting new patients

Locations

9211 Forest Hill Ave
Ste 101
Richmond, VA 23235
Phone (804) 924-4047

Organizations & group practices 2

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1336550730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9562 KINGS CHARTER DR",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 FOREST HILL AVE",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-924-4047",
            "fax_number": "804-464-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230051128",
            "country_code": "US",
            "telephone_number": "804-798-3291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICK",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-02-01",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.