Casey Elizabeth Peebles

Individual provider Active NPI Early Intervention Provider Agency · Fries, VA

NPI 1871458950 · NPPES record last updated Dec 19, 2025

Key facts

NPI
1871458950
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
421966 (VA)
Practice address
79 Boxer LN
Fries, VA 24330-3673
Phone
(276) 237-4913
NPI assigned
Dec 19, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
421966VAMDEarly Intervention Provider Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 421966 VA Yes

Addresses

Primary practice location

79 Boxer LN
Fries, VA 24330-3673

Mailing address

79 Boxer LN
Fries, VA 24330-3673

Other providers in Fries, VA

All providers in Fries, VA · Early Intervention Provider Agency in Virginia

Sources for this page

Verify at the official NPI Registry.