Kimberly Anne Hartman, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011387 Issued in PA

Practice address

301 Lake St
Dallas, PA 18612-7752

Phone

(570) 675-2131

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1306229802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CRESCENT LEDGE DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186123067",
            "telephone_number": "570-574-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAKE ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186127752",
            "telephone_number": "570-675-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hammond
• Carrie Michelle Hapeman, MSOTRL
• Samantha Alyvia Harpersberger, PA-C
• Clancy Cash Harrison, RD
• Miriam Inez Hartley, MSW/LCSW
• Leo Mitri Hartz, M.D.
• Melanie Anne Hedglin, MSPT
• Kristin Hoats, LCSW
• Meleah Cristiana Hoats, OTR/L
• Alexandra Hollock, MS CCC-SLP

• Speech-Language Pathologist in Dallas, PA
• Providers in Dallas, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.