Kimberly Bauerly, M.S. SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2077 Issued in ME

Practice address

75 W Commercial St
Suite 205
Portland, ME 04101-4797

Phone

(207) 797-8255

Fax

(207) 797-5560

NPI assigned

Feb 15, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1568769206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014797",
            "telephone_number": "207-797-8255",
            "fax_number": "207-797-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014797",
            "telephone_number": "207-797-8255",
            "fax_number": "207-797-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERLY",
        "first_name": "KIMBERLY",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cydney Batiste, MD
• Annabelle Batten, MD
• Leah K Bauer, MD
• Louisa Jacqueline Bauer, MD
• Lucy E Bauer, CRNA
• Timothy C Baum, MD
• Weeden J Bauman, MD
• Michael R Baumann, MD
• Katelyn Elizabeth Baxter-Musser, LCSW
• Emily Paige Baxter, MD

• Speech-Language Pathologist in Portland, ME
• Providers in Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.