Kimberly Jean Goode, SLP
Individual provider Active NPI Speech-Language Pathologist · Camano Island, WA
NPI 1811517006 · NPPES record last updated Apr 17, 2020
Key facts
- NPI
- 1811517006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 61030902 (WA)
- Practice address
- 1482 Carol St
Camano Island, WA 98282-8364 - Phone
- (619) 246-0648
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61030902 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 61030902 | WA | Yes |
Addresses
Primary practice location
1482 Carol St
Camano Island, WA 98282-8364
Mailing address
1482 Carol St
Camano Island, WA 98282-8364
Phone (619) 246-0648
Other names
- Kimberly Jean Duvall
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CamanoIsland | Direct |
Other providers in Camano Island, WA
- Julia Dudkina
- Mackenzie Jo Flaherty
- Robin E Fowler Lee
- John Alexander Freeman
- Kimberly Ann Garcia
- Chelsey M Graff
- Green Frog in Home Care
- Brenda Grinde
- Maria Angelica Guillen Mendoza
- Cleo Harris
All providers in Camano Island, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.