Kacie Mayo, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010383 Issued in VA

Practice address

2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910

Phone

(757) 301-2411

Fax

(888) 966-0621

NPI assigned

Jun 16, 2022

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

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1467182907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SEVEN KINGS RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 GENERAL BOOTH BLVD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545910",
            "telephone_number": "757-301-2411",
            "fax_number": "888-966-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "KACIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamary Lucy Maynard, LPTA
• Bella S Maynard
• Ashley J Mayo, MS, CCC-SLP
• Chester Mayo Jr., DMD
• Chester Vaughn Mayo, D.M.D.
• Marsha C Mayo, LCSW
• Jennifer Nicole Mays, PHARM.D.
• Zenobia Mayweather
• Marisa Mazzacone, PHARMD
• Megan Mazzarella, DMD

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jun 16, 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.