Individual provider Active NPI

Kimberly Jean Di Salvo, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Plymouth, NH
National Provider Identifier
1730501768
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1070 Issued in NH
Practice address
43 Old Ward Bridge Rd
Plymouth Elementary School
Plymouth, NH 03264-1230
Phone
(603) 536-1152
Fax
(603) 536-9085
NPI assigned
Jan 10, 2014
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1070 NH Primary

Addresses

Primary practice location

43 Old Ward Bridge Rd
Plymouth Elementary School
Plymouth, NH 03264-1230

Mailing address

43 Old Ward Bridge Rd
Plymouth Elementary School
Plymouth, NH 03264-1230
Phone (603) 536-1152

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

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1730501768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 OLD WARD BRIDGE RD",
            "address_2": "PLYMOUTH ELEMENTARY SCHOOL",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641230",
            "telephone_number": "603-536-1152",
            "fax_number": "603-536-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 OLD WARD BRIDGE RD",
            "address_2": "PLYMOUTH ELEMENTARY SCHOOL",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641230",
            "telephone_number": "603-536-1152",
            "fax_number": "603-536-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI SALVO",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.