Individual provider Active NPI

Kimberly Lavoie, M.S. CCC-SLP

  • Speech-Language Pathologist
  • New London, NH
National Provider Identifier
1174675813
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1852 Issued in NH
Practice address
166 Wilder LN
New London, NH 03257-5977
Phone
(857) 234-4066
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15563 CA
Speech-Language Pathologist 235Z00000X 1852 NH Primary

Addresses

Primary practice location

166 Wilder LN
New London, NH 03257-5977

Mailing address

166 Wilder LN
New London, NH 03257-5977
Phone (857) 234-4066

Other practice location 1

787 Munras Ave
Suite 101
Monterey, CA 93940-3128
Phone (831) 645-7900

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1852NHMDClinical Social Worker
15563CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1174675813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WILDER LN",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575977",
            "telephone_number": "857-234-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WILDER LN",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575977",
            "telephone_number": "857-234-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "787 Munras Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939403128",
            "country_code": "US",
            "telephone_number": "831-645-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "KIMBERLY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15563",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.