Individual provider Active NPI

Dawn Renae Philbin, SLP

  • Speech-Language Pathologist
  • West Des Moines, IA
National Provider Identifier
1174276893
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01709 Issued in IA
Practice address
160 S 68TH St Ste 1101
West Des Moines, IA 50266-8304
Phone
(515) 218-8445
Fax
(515) 864-0024
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-1990 WV
Speech-Language Pathologist 235Z00000X 016551 OR
Speech-Language Pathologist 235Z00000X 30000187 NC
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 01709 IA Primary

Addresses

Primary practice location

160 S 68TH St Ste 1101
West Des Moines, IA 50266-8304

Mailing address

160 S 68TH St Ste 1101
West Des Moines, IA 50266-8304
Phone (515) 218-8445

Other identifiers 1

IdentifierTypeStateIssuer
15481618OtherIACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01709IAMDSpeech-Language Pathologist
30000187NCMDSpeech-Language Pathologist
016551ORMDSpeech-Language Pathologist
SLP-1990WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
True Potential Education, LLC Single Specialty CurrentSince Feb 6, 2022 Accepting new patients

Locations

160 S 68th St
Ste 1101
West Des Moines, IA 50266
Phone (515) 218-8445

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1174276893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S 68TH ST STE 1101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668304",
            "telephone_number": "515-218-8445",
            "fax_number": "515-864-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 68TH ST STE 1101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668304",
            "telephone_number": "515-218-8445",
            "fax_number": "515-864-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBIN",
        "first_name": "DAWN",
        "middle_name": "RENAE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1990",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016551",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000187",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "01709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15481618",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.