Kimberly P Bentley, M.S..CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006938 Issued in NY

Practice address

2914 Fluvanna Townline Rd
Jamestown, NY 14701-9779

Phone

(716) 484-0119

Fax

(716) 484-2666

NPI assigned

May 18, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2008.

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1497912596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 FLUVANNA TOWNLINE RD",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019779",
            "telephone_number": "716-484-0119",
            "fax_number": "716-484-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 FLUVANNA TOWNLINE RD",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019779",
            "telephone_number": "716-484-0119",
            "fax_number": "716-484-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "KIMBERLY",
        "middle_name": "P",
        "credential": "M.S..CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Bell, RPA-C
• Jonathan Bellardo, PA
• Taylor Bellardo, LMSW
• Jessica Nicole Bens
• Steven Jon Benson, DMD
• Karen Berg, LPN
• Melinda Berg
• Meghan Berlin
• Amit Bhowmik, M.D.
• Stephanie Bielecki-Glazier, LMSW

• All providers in Jamestown, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.