Kimberly Dawn Stowell, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1412 Issued in ID

Practice address

3715 Woodking Dr
Idaho Falls, ID 83404-4720

Phone

(208) 589-8381

Fax

(208) 523-6002

NPI assigned

Aug 30, 2006

Last updated

May 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 ID

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Achieve Therapy and Learning Services, LLCGroup PAC ID 7113382110, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Achieve Therapy and Learning Services, LLC

  • Speech-Language Pathologist
  • Idaho Falls, ID
  • NPI 1205574399
  Medicare reassignment Care Compare group NPD
• Foothills Rehabilitation & Performance Services, PLLC

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1063829836

  Speech-Language Pathologist

  Medicare reassignment NPD
• Celebration Speech of Idaho, LLC

  dba Celebration Speech

  • Speech-Language Pathologist
  • Idaho Falls, ID
  • NPI 1851026645
  NPD Authorized official
• Celebration Speech, Inc

  • Speech-Language Pathologist
  • Idaho Falls, ID
  • NPI 1376795666
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1811007784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 EAGLE POINTE CT",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066873",
            "telephone_number": "208-589-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-589-8381",
            "fax_number": "208-523-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWELL",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trena Kirsten Stoneman
• Jodie Kaye Stookey, APRN-CNP
• Charles Todd Storms, RPT
• G. Van Stosich, D.D.S.
• Angela Stott, CADC
• Richard Joseph Strachan, PHARMD
• Strada Performance LLC
• Lettie Stradley-Bass, LCPC-8478
• Blake A. Stragier, R.C.S.
• Derek Ronald Strate, DPT

• Speech-Language Pathologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.