Active NPI
Erma F Kelly, M.ED., CCC-SLP, ED.S
- Speech-Language Pathologist
- Sandston, VA
National Provider Identifier
1508059510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202000531
- Practice address
- 4948 White Oak PL
Sandston, VA 23150-5467 - Phone
- (804) 399-5832
- NPI assigned
- Aug 22, 2007
- Last updated
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202000531 | VA | Primary |
Addresses
Primary practice location
4948 White Oak PL
Sandston, VA 23150-5467
Mailing address
4948 White Oak PL
Sandston, VA 23150-5467
Phone (804) 399-5832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208312 | Other | VA | ANTHEM BLUE CROSS/BLUE SH |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202000531 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1508059510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4948 WHITE OAK PL",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231505467",
"telephone_number": "804-399-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4948 WHITE OAK PL",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231505467",
"telephone_number": "804-399-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ERMA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "M.ED., CCC-SLP, ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202000531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE SH",
"identifier": "208312",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.