Active NPI
Kia H Symonds
- Speech-Language Pathologist
- Richmond, VA
National Provider Identifier
1679714596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202003302
- Practice address
- 4009 Fitzhugh Ave
Suite 200
Richmond, VA 23230-3953 - Phone
- (804) 447-5240
- Fax
- (804) 447-5241
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2202003302 | VA | |
| Speech-Language Pathologist | 235Z00000X | 2202003302 | VA | Primary |
Addresses
Primary practice location
4009 Fitzhugh Ave
Suite 200
Richmond, VA 23230-3953
Mailing address
4009 Fitzhugh Ave
Suite 200
Richmond, VA 23230-3953
Phone (804) 447-5240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679714596 | Medicaid | VA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202003302 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speak Like Me, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1679714596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 FITZHUGH AVE",
"address_2": "SUITE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303953",
"telephone_number": "804-447-5240",
"fax_number": "804-447-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 FITZHUGH AVE",
"address_2": "SUITE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303953",
"telephone_number": "804-447-5240",
"fax_number": "804-447-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMONDS",
"first_name": "KIA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "2202003302",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202003302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679714596",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.