Individual provider Active NPI

Victoria Rose Lovett Herring, SLP

  • Speech-Language Pathologist
  • Valdosta, GA
National Provider Identifier
1467958009
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010776 Issued in GA
Practice address
200 W Moore St
Valdosta, GA 31602-2919
Phone
(229) 253-8500
Fax
(229) 253-8522
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ8429 FL
Speech-Language Pathologist 235Z00000X SLP010776 GA Primary
Speech-Language Pathologist 235Z00000X SA16816 FL

Addresses

Primary practice location

200 W Moore St
Valdosta, GA 31602-2919

Mailing address

53 Loganberry Circle
Valdosta, GA 31602-2303
Phone (229) 560-6600

Other practice location 1

112 Irvin Ave SW
Live Oak, FL 32064-2214
Phone (229) 560-6600

Other practice location 2

53 Loganberry Cir
Valdosta, GA 31602-2303
Phone (229) 560-6600

Other names 1

  • Victoria Rose Lovett Former name

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

LicenseStateTypeSpecialty
SA16816FLMDSpeech-Language Pathologist
SZ8429FLMDSpeech-Language Pathologist
SLP010776GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Rehabilitation Inc. Speech-Language Pathologist CurrentSince Oct 13, 2024 Accepting new patients
Evolve Therapy Solutions LLC Speech-Language Pathologist CurrentSince Oct 20, 2024 Accepting new patients

Locations

1803 Canterbury Dr
Ste C
Valdosta, GA 31602
Phone (229) 560-6600

200 W Moore St
Valdosta, GA 31602
Phone (229) 253-8500

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1467958009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 LOGANBERRY CIRCLE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022303",
            "telephone_number": "229-560-6600",
            "fax_number": "888-841-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022919",
            "telephone_number": "229-253-8500",
            "fax_number": "229-253-8522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Irvin Ave SW",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320642214",
            "country_code": "US",
            "telephone_number": "229-560-6600",
            "fax_number": "888-841-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Loganberry Cir",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022303",
            "country_code": "US",
            "telephone_number": "229-560-6600",
            "fax_number": "888-841-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRING",
        "first_name": "VICTORIA",
        "middle_name": "ROSE LOVETT",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8429",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010776",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "LOVETT",
            "middle_name": "ROSE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.