Kimberly Marie Skrum Heal, MSCCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2376-154 Issued in WI

Practice address

901 Mulberry St
Lake Mills, WI 53551-1335

Phone

(608) 648-3144

NPI assigned

May 10, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053526517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3269 HOOKER RD.",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539559257",
            "telephone_number": "608-635-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MULBERRY ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511335",
            "telephone_number": "608-648-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAL",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE SKRUM",
        "name_prefix": "Ms.",
        "credential": "MSCCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2376-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42567900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Dorann Hahn, PTA
• Bridget A. Halbersma, NP,APNP
• Paul William Hameister
• Larissa Hampton
• Allison Hasel, NP
• Stacie Heier
• Edward B Heimstreet, RPH
• Jeanette Myers Heitman
• Kathleen Susan Heltemes, SLP
• Mary Lou Herbst, LPN

• Speech-Language Pathologist in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.