Katherine Love Timlin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA001921 Issued in FL

Practice address

4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671

Phone

(386) 503-4219

NPI assigned

Mar 6, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• First Step Therapeutics

  • Pediatric Rehabilitation Medicine Physician
  • Daytona Beach, FL
  • NPI 1497884399
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1043340516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BEACHWAY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378673",
            "telephone_number": "386-503-4219",
            "fax_number": "386-446-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373671",
            "telephone_number": "386-503-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMLIN",
        "first_name": "KATHERINE",
        "middle_name": "LOVE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA001921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880174600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "S1916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjana Thota-Kammili, MBBS
• Venkata Ram Prasad Thota, M.D.
• John Willaim Thousand IV, D.D.S.
• Thrive PT & Wellness LLC
• Tigris Rivers
• Luciane Timoteo, RN
• Timothy W Valk MD PA
• Colleen Alma Tito, DC
• Dwight Peter Lim Tiu, M.D.
• Tkvelez Surgical Assisting, Inc.

• Speech-Language Pathologist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.