Kimberly Rose Van Buren, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011242 Issued in PA

Practice address

105 Morton Ave
Ridley Park, PA 19078-2409

Phone

(610) 521-1331

NPI assigned

Aug 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kimberly Rose Cifuni Former name

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.vanburen.p1@direct.udel.nextgenshare.com

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.

• Ud Health LLC

  • Family Nurse Practitioner
  • Newark, DE
  • NPI 1750001855

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503
  Medicare reassignment
• Ud Health LLC

  • Clinical Psychologist
  • Newark, DE
  • NPI 1821989856
  NPD
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newtown Square, PA
  • NPI 1497796544
  NPD (past)

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377388800000",
    "number": "1740614940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MORTON AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782409",
            "telephone_number": "610-521-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MORTON AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782409",
            "telephone_number": "610-521-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2013-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011242",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CIFUNI",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "MS. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory T Tadduni, M.D.
• Taylor Community Foundation
• Taylor Hospice Holdings, LLC
• Taylor Hospital
• Jose G Tiongson Jr., MD
• Julia Elizabeth Walsh, MS, OTR
• Guofang Wang, M.D.
• Ryan Patrick Wantz, A.T.C
• Jennifer Lynne Weber, R.D
• G Delia Wilcher, M.D.

• Speech-Language Pathologist in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.