Amanda Kristen Kim, M.S. , CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11095 Issued in OH

Practice address

3570 Executive Dr Ste 208
Uniontown, OH 44685-8712

Phone

(330) 595-9173

Fax

(330) 595-1525

NPI assigned

Sep 19, 2018

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 OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Speech and Swallowing Partners LLCGroup PAC ID 4183913999, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Innovative Speech & Swallowing Partners LLC

  • Speech-Language Pathologist
  • Uniontown, OH
  • NPI 1588027866
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1669956330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR STE 208",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858712",
            "telephone_number": "330-595-9173",
            "fax_number": "330-595-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR STE 208",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858712",
            "telephone_number": "330-595-9173",
            "fax_number": "330-595-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AMANDA",
        "middle_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "M.S. , CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Keefer, DSP
• Bethany Kessel, CCC-SLP
• Leonna Marie Kidd, LPN
• Katharina Magdalena Kiderlen, DC
• Claire Killian, OTRL
• Kimbercare Homes
• Kimbercare Homes
• Kimbercare Homes
• Katherine Lynn Kincaid, DDS
• Stacy Lynn King, PTA

• Speech-Language Pathologist in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.