Active NPI
Karen Tibbitts Filimoehala, SLP-CCC
- Speech-Language Pathologist
- Logan, UT
National Provider Identifier
1255873352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4794822-4102
- Practice address
- 1400 N 500 E
1St Floor
Logan, UT 84341-2455 - Phone
- (435) 176-5327
- NPI assigned
- Nov 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4794822-4102 | UT | Primary |
Addresses
Primary practice location
1400 N 500 E
1St Floor
Logan, UT 84341-2455
Mailing address
1400 N 500 E
1St Floor
Logan, UT 84341-2455
Phone (435) 176-5327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4794822-4102 | Other | UT | DOPL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 27128
Salt Lake City, UT 84127
PO Box
Suite 30180
Salt Lake City, UT 84130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4794822-4102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1255873352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N 500 E",
"address_2": "1ST FLOOR",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412455",
"telephone_number": "435-176-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N 500 E",
"address_2": "1ST FLOOR",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412455",
"telephone_number": "435-176-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIMOEHALA",
"first_name": "KAREN",
"middle_name": "TIBBITTS",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "4794822-4102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOPL",
"identifier": "4794822-4102",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.