Active NPI
Kim Christine Hilderbrandt, MA SLP-CCC
- Speech-Language Pathologist
- Port Orchard, WA
National Provider Identifier
1710359401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60594298
- Practice address
- 2689 Hoover Ave SE
Port Orchard, WA 98366-3013 - Phone
- (360) 443-3625
- Fax
- (360) 443-3662
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL60594298 | WA | Primary |
Addresses
Primary practice location
2689 Hoover Ave SE
Port Orchard, WA 98366-3013
Mailing address
2689 Hoover Ave SE
Port Orchard, WA 98366-3013
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60594298 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1710359401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2689 HOOVER AVE SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2689 HOOVER AVE SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663013",
"telephone_number": "360-443-3625",
"fax_number": "360-443-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDERBRANDT",
"first_name": "KIM",
"middle_name": "CHRISTINE",
"credential": "MA SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60594298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.