Kristin Noel Bivens

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPI.SI.70001382 Issued in WA

Practice address

1900 Belmont Loop
Woodland, WA 98674-8475

Phone

(360) 841-8096

Fax

(360) 326-1599

NPI assigned

Jun 17, 2025

Last updated

Jun 17, 2025By 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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Speech & Language Therapy, LLC

  • Speech-Language Pathologist
  • Woodland, WA
  • NPI 1871240226
  Medicare reassignment NPD
• Cascade Holistic Health Care PLLC

  • Family Nurse Practitioner
  • Vancouver, WA
  • NPI 1891523957
  NPD (past)

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1285520999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 GUN CLUB RD",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748361",
            "telephone_number": "360-841-8096",
            "fax_number": "360-326-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BELMONT LOOP",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748475",
            "telephone_number": "360-841-8096",
            "fax_number": "360-326-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "KRISTIN",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLPI.SI.70001382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christy Marie Bisconer, MS, CCC-SLP
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• Lauren Brown, ATC
• Bryan C Johnson DMD PC (Lewis River Dental)
• Jaime Butterfield, PHARMD
• Doina Mihaela Charan, DDS

• Speech-Language Pathologist in Woodland, WA
• Providers in Woodland, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.

Verify at the official NPI Registry.