Andrea Peterson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009230 Issued in VA

Practice address

17 Hunt Wood Dr
Poquoson, VA 23662-1941

Phone

(757) 839-6327

NPI assigned

Aug 22, 2025

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

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.

• Hazel Therapy Network LLC

  • Hearing and Speech Clinic/Center
  • Poquoson, VA
  • NPI 1164300729
  NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1508744145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HUNT WOOD DR",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621941",
            "telephone_number": "757-839-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HUNT WOOD DR",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621941",
            "telephone_number": "757-839-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANDREA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hedley N Mendez III, MD
• Alfred P Moore, DENTIST
• Dale Alan Moore Sr., PHARM.D
• Imani Janea' Parker
• Rebecca Peek, CD(DONA)
• Poquoson Chiropractic Clinic, P.C.
• Poquoson City Public Schools
• Robyn Progar, RPH
• Refine Mind Mental Health Services LLC
• Stephanie Sebestyen, PTA

• Speech-Language Pathologist in Poquoson, VA
• Providers in Poquoson, 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 Aug 22, 2025; 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.