Individual provider Active NPI

Kimberly A Turner, SLP

  • Speech-Language Pathologist
  • Tigard, OR
National Provider Identifier
1750694725
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15075 Issued in OR
Practice address
10300 SW Greenburg Rd
One Lincoln Center Suite 410
Tigard, OR 97223-5410
Phone
(503) 517-8555
Fax
(503) 517-8556
NPI assigned
Jul 20, 2010
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 15075 OR Primary

Addresses

Primary practice location

10300 SW Greenburg Rd
One Lincoln Center Suite 410
Tigard, OR 97223-5410

Mailing address

10300 SW Greenburg Rd
One Lincoln Center Suite 410
Tigard, OR 97223-5410
Phone (503) 517-8555

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

State licenses

LicenseStateTypeSpecialty
15075ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1750694725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW GREENBURG RD",
            "address_2": "ONE LINCOLN CENTER SUITE 410",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235410",
            "telephone_number": "503-517-8555",
            "fax_number": "503-517-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW GREENBURG RD",
            "address_2": "ONE LINCOLN CENTER SUITE 410",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235410",
            "telephone_number": "503-517-8555",
            "fax_number": "503-517-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.