Individual provider Active NPI

Amy Joy Celec

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1568964401
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203000134 Issued in VA
Practice address
5649 Bayside Rd
Virginia Beach, VA 23455-3410
Phone
(757) 648-2080
Fax
(757) 460-7513
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2203000134 VA Primary

Addresses

Primary practice location

5649 Bayside Rd
Virginia Beach, VA 23455-3410

Mailing address

1220 Smith Cove Cir
Virginia Beach, VA 23455-6828
Phone (757) 620-8972

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
2203000134VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1568964401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SMITH COVE CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556828",
            "telephone_number": "757-620-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 BAYSIDE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553410",
            "telephone_number": "757-648-2080",
            "fax_number": "757-460-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELEC",
        "first_name": "AMY",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.