Active NPI
Kimberly Lavoie, M.S. CCC-SLP
- Speech-Language Pathologist
- New London, NH
National Provider Identifier
1174675813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1852
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1852 | NH | MD | Clinical Social Worker |
| 15563 | CA | MD | Chiropractor |
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.