Kim Corbin-Lewis, PH.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111768-4102 Issued in UT

Practice address

1000 Old Main HL
Dept of Communicative Disorders & Deaf Education
Logan, UT 84322-1000

Phone

(435) 797-1302

Fax

(435) 797-0221

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750403523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OLD MAIN HL",
            "address_2": "DEPT OF COMMUNICATIVE DISORDERS & DEAF EDUCATION",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843221000",
            "telephone_number": "435-797-1302",
            "fax_number": "435-797-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OLD MAIN HL",
            "address_2": "DEPT OF COMMUNICATIVE DISORDERS & DEAF EDUCATION",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843221000",
            "telephone_number": "435-797-1302",
            "fax_number": "435-797-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN-LEWIS",
        "first_name": "KIM",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "111768-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Bryce Cook, DPM
• Joshua Cook
• W Bryce Cook, DPM
• William R. Cook, MSW, LCSW
• Peyton Rusty Coombs, NP
• Adella Corbridge
• Annel Cordero, M.A.
• Corey B Johnson MD PC (cache vein care)
• Cornerstone Caregiving West LLC
• Costco Wholesale Corporation (Costco Optical #1633)

• Speech-Language Pathologist in Logan, UT
• Providers in Logan, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.