Kimberly Kosa

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

2202003858 Issued in VA

Practice address

525 Century CT
Wytheville, VA 24382-1091

Phone

(276) 920-1748

NPI assigned

Nov 18, 2016

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 VA

Enrollment records 1

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 and National Provider Directory roles.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1871241414
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1316480650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CENTURY CT",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821091",
            "telephone_number": "276-920-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CENTURY CT",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821091",
            "telephone_number": "276-920-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "VA",
            "license": "2202003858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Tommy Kilgore, M.D.
• Chase King, DO
• Meredith Lee King
• Nora F King, LCSW
• Amanda Porter Kirby, LPC
• Amanda Dawn Lambert, SLP
• James Brandon Lambert, LPC
• Mark Timothy Larsen, LPC
• Kristyna Lea Lathem, MS, LPC
• Cristina M Lecaros-Trinidad, M.D,

• Speech/Language/Hearing Specialist/Technologist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Speech/Language/Hearing Specialist/Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.