Kia Patten, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1584 Issued in ND

Practice address

222 University Ave
Williston, ND 58801-5658

Phone

(701) 572-6757

Fax

(701) 222-3186

NPI assigned

Nov 14, 2017

Last updated

Sep 13, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Red Door Pediatric Therapy, Inc

  dba Red Door Pediatric Therapy

  • Speech-Language Pathologist
  • Bismarck, ND
  • NPI 1639257033
  NPD (past)
• Wilmac Special Education Unit

  • Local Education Agency (LEA)
  • Williston, ND
  • NPI 1225185457

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1811400799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2397",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588022397",
            "telephone_number": "701-572-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 UNIVERSITY AVE",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015658",
            "telephone_number": "701-572-6757",
            "fax_number": "701-222-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "KIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811400799",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Pacheco
• Marina Pachuilo
• Lara R Packard, BSN
• Jeong Eun Park
• Pathology Services
• Leslie Patterson
• Dana Rae Payne
• Jana Pearson, SLP
• Khylle Pelmyr Alabanzas Pepino, PT
• Heather Perkins, PTA

• Speech-Language Pathologist in Williston, ND
• Providers in Williston, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.