Active NPI
Joyce Sohn Kim
- Speech-Language Pathologist
- Makawao, HI
National Provider Identifier
1235637489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1780
- Practice address
- 91 Keleawe St
Makawao, HI 96768-8957 - Phone
- (818) 359-8794
- NPI assigned
- Jan 23, 2018
- 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 | 11625 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP-1780 | HI | Primary |
Addresses
Primary practice location
91 Keleawe St
Makawao, HI 96768-8957
Mailing address
PO Box 880345
Pukalani, HI 96788-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1773 Wili PA Loop
Suite a
Wailuku, HI 96793-1286
Phone 80885698211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Speech and Swallow and Neurological Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
169 Maa St
Ste C
Kahului, HI 96732
Phone (808) 793-7343
1773 Wili Pa Loop
Ste A
Wailuku, HI 96793
Phone (808) 856-9821
1826 Wili Pa Loop
Ste 6
Wailuku, HI 96793
Phone (808) 856-9821
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
- Makawao, HI
- NPI 1982346219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662249600000",
"number": "1235637489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880345",
"city": "PUKALANI",
"state": "HI",
"postal_code": "967880345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 KELEAWE ST",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688957",
"telephone_number": "818-359-8794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOYCE",
"middle_name": "SOHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2022-09-04",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11625",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-1780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.