Kimberly Haas, M.S. ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008228 Issued in VA

Practice address

1101 William Styron SQ S
Newport News, VA 23606-2877

Phone

(757) 594-0330

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Virginia Health Rehabilitation Agency, LLC

  • Physical Therapist
  • Newport News, VA
  • NPI 1972686780

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1023508967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 MEANDERING LN",
            "city": "NORTH",
            "state": "VA",
            "postal_code": "231289012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILLIAM STYRON SQ S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062877",
            "telephone_number": "757-594-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "KIMBERLY",
        "credential": "M.S. ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelaida Gyurjyan-Bunch, M.D.
• Anna Gyurjyan, NP
• H.O.M.E. Living Inc
• H2E Transportation
• Christopher A Haas, M.D.
• Jonathan Haber, PSYD
• John Roberts Hackman, LMT
• William Andrew Hackworth, MD
• Michaela-Sue Nickole Haddox
• Hagar Clinical and Therapeutic Services LLC

• Speech-Language Pathologist in Newport News, VA
• Providers in Newport News, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.