Individual provider Active NPI

Betty R. Walton, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Hampton, VA
National Provider Identifier
1962679118
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202001260 Issued in VA
Practice address
4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074
Phone
(757) 871-5558
Fax
(844) 336-3309
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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 2202001260 VA Primary

Addresses

Primary practice location

4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074

Mailing address

PO Box 6204
Newport News, VA 23606-0204
Phone (757) 871-5558

Other identifiers 1

IdentifierTypeStateIssuer
1619312782MedicaidVA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2202001260VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Speech Now Speech-Language Pathologist Past Accepting new patients
Clear Speech Now PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1962679118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6204",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236060204",
            "telephone_number": "757-871-5558",
            "fax_number": "844-336-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 334",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662074",
            "telephone_number": "757-871-5558",
            "fax_number": "844-336-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "BETTY",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619312782",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.