Individual provider Active NPI

Nancy Fazekas Dolbeck, MS,CCC/SLP

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1437334117
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007262 Issued in VA
Practice address
2320 Red Tide Rd
Virginia Beach, VA 23451-1204
Phone
(757) 615-4538
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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 2202007262 VA Primary

Addresses

Primary practice location

2320 Red Tide Rd
Virginia Beach, VA 23451-1204

Mailing address

805 Forest Glade Dr
Chesapeake, VA 23322-8104
Phone (954) 292-8050

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202007262VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1437334117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FOREST GLADE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228104",
            "telephone_number": "954-292-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 RED TIDE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511204",
            "telephone_number": "757-615-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBECK",
        "first_name": "NANCY",
        "middle_name": "FAZEKAS",
        "credential": "MS,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007262",
            "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 19, 2016; 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.