Kathleen Ann Edwards, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202001611 Issued in VA

Practice address

Scottish Rite Childhood Language Center
4202 Hermitage Road
Richmond, VA 23227-3755

Phone

(804) 266-6699

Fax

(804) 264-5988

NPI assigned

Aug 24, 2006

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

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Childhood Lang CNTR at Rich. Inc.

  • Audiologist
  • Richmond, VA
  • NPI 1598872590

  Speech-Language Pathologist

  NPD (past)
• Scottish Rite Childhood Language Center at Richmond Inc.

  • Speech-Language Pathologist
  • Richmond, VA
  • NPI 1346820149
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467569467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 HERMITAGE ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273755",
            "telephone_number": "804-266-6699",
            "fax_number": "804-264-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCOTTISH RITE CHILDHOOD LANGUAGE CENTER",
            "address_2": "4202 HERMITAGE ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273755",
            "telephone_number": "804-266-6699",
            "fax_number": "804-264-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "195246",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "259332",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "3822946",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE NETWORK",
            "identifier": "255800",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-7877-3",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "11123",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Towanda Edwards-Osborne, LCSW
• Carole Lynne Edwards, LCSW
• Cierra Edwards, PHD
• Janell Edwards, PTA
• Judith S Edwards
• Lauren Leigh Edwards, AGACNP-BC
• Marilyn Kay Edwards, CSAC
• Martha J Edwards, LCSW
• Melissa A. Edwards, DO
• Melissa Hotchkiss Edwards, CRNA

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, 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 Jul 8, 2007; 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.