Kimberly Ridenour

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

22443 SE 240TH St Ste 206
Maple Valley, WA 98038-5879

Phone

(425) 358-3070

NPI assigned

Oct 11, 2019

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridenour Therapy LLC

  • Speech-Language Pathologist
  • Renton, WA
  • NPI 1548171309
  NPD (past) Authorized official
• Relaxing Resources

  dba Maple Valley Pediatric Therapy

  • Pediatric Occupational Therapist
  • Maple Valley, WA
  • NPI 1477035368
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1023650967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14910 165TH PL SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980598817",
            "telephone_number": "360-261-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST STE 206",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385879",
            "telephone_number": "425-358-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorations Clinical Group, PLLC (Thrive Behavioral Health)
• Diana Reyes
• Lisha Annemarie Ribellia, D.C.
• Crystal Ricciardi, OTR L
• Clifford John Richards, PT
• Rodney Tyson Riedel, MD
• Joshua Aaron Rigtrup
• Sandra Sebold Ritchie, MD
• Elizabeth Rivera-Martinez
• Robert S Haeger DDS, Ms, PS

• Speech-Language Pathologist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.