Kim Schulenburg, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01-0000924 Issued in DE

Practice address

100 Sunnyside Rd
Smyrna, DE 19977-1752

Phone

(302) 223-1284

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delaware PhysiatryGroup PAC ID 0345644357, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD
• FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD/Endpoint/CBJFCD

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.

• Delaware Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Dover, DE
  • NPI 1174192827
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1003297722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INDIA DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199774825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUNNYSIDE RD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771752",
            "telephone_number": "302-223-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULENBURG",
        "first_name": "KIM",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "01-0000924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12055657",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Sarkissian
• Amanda Marie Schaffner
• Sarah Schrader
• Schreppler Chiropractic Offices P.a. Smyrna Delaware
• George Bernard Schreppler III, D.C.
• Kevin Schultz, PT
• Eleanor Scott, NP
• Henry Sellers III
• Hooshang Shanehsaz, RPH
• Jazab Ali Sheikh, M.D.

• Speech-Language Pathologist in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Speech-Language Pathologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.