Kids First Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

955 Issued in ND

Legal business name

KIDS FIRST THERAPY, LLC

Practice address

1102 7TH St S
Fargo, ND 58103-2712

Phone

(701) 866-9529

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Wollan

Title

Speech-Language Pathologist

Phone

(701) 866-9529

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1023416534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 7TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032712",
            "telephone_number": "701-866-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 7TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032712",
            "telephone_number": "701-866-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "WOLLAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "701-866-9529"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "1861690752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861690752",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Khibnik, LAPC
• Seema Khosla, MD
• Naella Khoury, LPN
• Aslam Khuder
• Kaitlyn Kidder
• Rebecca Ann Kiecker, NP-C
• Kay Kiefer, RN
• Megan M Kiefer, OTR-L
• Frederick Kieley
• Aavrie Marie Kielty, DC

• Speech-Language Pathologist in Fargo, ND
• Providers in Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.