NPIMap

Organization Active NPI

Dimensions Speech Language and Learning Services, North

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1841413010
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6787 Issued in FL
Legal business name
DIMENSIONS SPEECH LANGUAGE AND LEARNING SERVICES, NORTH
Practice address
12545 Orange Dr Ste 502
Davie, FL 33330-4306
Phone
(954) 236-9415
Fax
(954) 236-9415
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kimberly N Bloom, MS CCC SLPNPI 1770615080
Title
Speech Pathologist
Phone
(954) 236-9415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA6787 FL Primary

Addresses

Primary practice location

12545 Orange Dr Ste 502
Davie, FL 33330-4306

Mailing address

8075 NW 15TH MNR
Plantation, FL 33322-5453
Phone (954) 424-1630

Other identifiers 2

IdentifierTypeStateIssuer
888506100MedicaidFL
09134279OtherFLASHA

National Provider Directory

National Provider Directory
Tax ID family
Dimensions Speech Language and Learning Services North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1841413010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 NW 15TH MNR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225453",
            "telephone_number": "954-424-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 ORANGE DR STE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304306",
            "telephone_number": "954-236-9415",
            "fax_number": "954-236-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS SPEECH LANGUAGE AND LEARNING SERVICES, NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "954-236-9415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888506100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "09134279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.