Individual provider Active NPI

Joanne Belle Kiman, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Roslyn, NY
National Provider Identifier
1326347691
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000547-1 Issued in NY
Practice address
13 Carriage Rd
Roslyn, NY 11576-3117
Phone
(516) 241-8544
Fax
(516) 248-4221
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 000547-1 NY Primary

Addresses

Primary practice location

13 Carriage Rd
Roslyn, NY 11576-3117

Mailing address

13 Carriage Rd
Roslyn, NY 11576-3117
Phone (516) 241-8544

Other identifiers 1

IdentifierTypeStateIssuer
000547-1OtherNYNYS SPEECH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000547-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1326347691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CARRIAGE RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763117",
            "telephone_number": "516-241-8544",
            "fax_number": "516-248-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CARRIAGE RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763117",
            "telephone_number": "516-241-8544",
            "fax_number": "516-248-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMAN",
        "first_name": "JOANNE",
        "middle_name": "BELLE",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000547-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS SPEECH LICENSE",
            "identifier": "000547-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.