Organization Active NPI

Kimberly Scott

Doing business as Speech Therapy 101

  • Speech-Language Pathologist
  • Manhattan BCH, CA
National Provider Identifier
1184906463
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP13647 Issued in CA
Legal business name
KIMBERLY SCOTT
Doing business as
Speech Therapy 101
Practice address
3208 Highland Ave Ste B
Manhattan BCH, CA 90266-3833
Phone
(415) 713-9011
NPI assigned
Sep 13, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Ms. Kimberly Scott, CCC-SLPNPI 1366752008
Title
Owner
Phone
(415) 713-9011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP13647 CA Primary

Addresses

Primary practice location

3208 Highland Ave Ste B
Manhattan BCH, CA 90266-3833

Mailing address

3208 Highland Ave Ste B
Manhattan BCH, CA 90266-3833
Phone (415) 713-9011

Other names 1

  • SPEECH THERAPY 101 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1184906463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 HIGHLAND AVE STE B",
            "city": "MANHATTAN BCH",
            "state": "CA",
            "postal_code": "902663833",
            "telephone_number": "415-713-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 HIGHLAND AVE STE B",
            "city": "MANHATTAN BCH",
            "state": "CA",
            "postal_code": "902663833",
            "telephone_number": "415-713-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-713-9011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEECH THERAPY 101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan BCH, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.