Active NPI
Kimberly Winter Panther, MA, CCC-SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1326638800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14090567
- Practice address
- 7107 28TH Ave NW
Seattle, WA 98117-5946 - Phone
- (513) 652-1526
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22006157A | IN | |
| Speech-Language Pathologist | 235Z00000X | 14090567 | Primary |
Addresses
Primary practice location
7107 28TH Ave NW
Seattle, WA 98117-5946
Mailing address
7107 28TH Ave NW
Seattle, WA 98117-5946
Phone (513) 652-1526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22006157A | Other | IN | STATE OF INDIANA |
| 14090567 | Other | ASHA |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006157A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1326638800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7107 28TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981175946",
"telephone_number": "513-652-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7107 28TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981175946",
"telephone_number": "513-652-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTHER",
"first_name": "KIMBERLY",
"middle_name": "WINTER",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006157A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "14090567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF INDIANA",
"identifier": "22006157A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14090567",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.