Individual provider Active NPI

J Berkeley McQuiddy

  • Speech-Language Pathologist
  • North Chesterfield, VA
National Provider Identifier
1770130601
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204000289 Issued in VA
Practice address
415 S Providence Rd
North Chesterfield, VA 23236-3343
Phone
(804) 674-1310
NPI assigned
Aug 26, 2019
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 2204000289 VA Primary

Addresses

Primary practice location

415 S Providence Rd
North Chesterfield, VA 23236-3343

Mailing address

8903 Sierra Rd
Richmond, VA 23229-7828

Other practice location 1

400 Westhill Rd
Hopewell, VA 23860-4148
Phone (804) 513-7319

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
2204000289VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1770130601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 SIERRA RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S PROVIDENCE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363343",
            "telephone_number": "804-674-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Westhill Rd",
            "address_purpose": "LOCATION",
            "city": "Hopewell",
            "state": "VA",
            "postal_code": "238604148",
            "country_code": "US",
            "telephone_number": "804-513-7319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUIDDY",
        "first_name": "J",
        "middle_name": "BERKELEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.