Active NPI
Dawn Renae Philbin, SLP
- Speech-Language Pathologist
- West Des Moines, IA
National Provider Identifier
1174276893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01709
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1990 | WV | |
| Speech-Language Pathologist | 235Z00000X | 016551 | OR | |
| Speech-Language Pathologist | 235Z00000X | 30000187 | NC | |
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15481618 | Other | IA | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01709 | IA | MD | Speech-Language Pathologist |
| 30000187 | NC | MD | Speech-Language Pathologist |
| 016551 | OR | MD | Speech-Language Pathologist |
| SLP-1990 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Potential Education, LLC | Single Specialty | Current | 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.
-
- Speech-Language Pathologist
- West Des Moines, IA
- NPI 1912166224
Single Specialty
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.