Kim Ilene Koch, M.S./CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP290 Issued in NV

Practice address

1284 Los Meadows Dr
Las Vegas, NV 89110-1904

Phone

(702) 278-3022

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiltons Therapy Inc

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1235799941

  Speech-Language Pathologist

  Medicare reassignment NPD
• Clear Communication Specialists

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1063659373
  Authorized official Same address or phone
• Debbie Tilton Otrl Inc

  dba Tiltons Therapy For Tots

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1740323674

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1164687844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 LOS MEADOWS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891101904",
            "telephone_number": "702-431-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 LOS MEADOWS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891101904",
            "telephone_number": "702-278-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "KIM",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "M.S./CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Koch, RN
• Dawn Koch
• Denise Lynn Koch
• Donald Koch
• Kenneth James Koch
• Marie Kristina Fornillos Koch
• Michael Joseph Koch, DC
• Warren Douglas Koch, LMSW
• Zoie Koch, OTD, OTR/L
• Quierra C Kocher, RN

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.