Kimberly Anne Hartsell, MS, CCC-SLP, CBIS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101001548 Issued in MI

Practice address

1211 Stateline Rd
Niles, MI 49120-4797

Phone

(269) 684-2810

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Anne Krouse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1255102224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20796 BROWNSVILLE RD",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319344",
            "telephone_number": "269-858-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STATELINE RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204797",
            "telephone_number": "269-684-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Peace Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859562",
            "country_code": "US",
            "telephone_number": "269-556-9050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSELL",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "MS, CCC-SLP, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KROUSE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cullen Hardy, PSYD
• Sangeetha Harikrishnan
• Reid Harmacinski
• Jadyn Harman
• Michaela Brooke Hartline, OTR/L
• Christopher J Harvey, MD
• Healing and Restoring PLLC
• Healthzone Chiropractic II
• Robin Marie Hebard, RD, CSOWM
• Hugh B Hedman, M.D.

• Speech-Language Pathologist in Niles, MI
• Providers in Niles, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.