Kymry Hart Fowler, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP17425 Issued in CA

Practice address

27184 Ortega Hwy Ste 103
San Juan Capistrano, CA 92675-2796

Phone

(949) 374-4868

Fax

(949) 606-8262

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kfi Speech Therapy Professional Corporation

  • Speech-Language Pathologist
  • San Juan Capistrano, CA
  • NPI 1568205052
  NPD Authorized official
• Kfi Speech Therapy, Professional Corporation

  • Speech-Language Pathologist
  • San Juan Capistrano, CA
  • NPI 1841756582
  NPD Authorized official
• Assessment, Consultation & Treatment Inc

  • Behavior Analyst
  • Pasadena, CA
  • NPI 1699029306
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1851647168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AVENIDA SERRA APT B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726780",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27184 ORTEGA HWY STE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752796",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 E Foothill Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073443",
            "country_code": "US",
            "telephone_number": "626-824-0982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KYMRY",
        "middle_name": "HART",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "17425",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "SP17425",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flagstone Healthcare South LLC
• Hannah Foerstel, M.S. CCC-SLP
• Payton Rose Devine Forche
• Christine Ann Fortmann, DDS
• Daniel Link Fortmann, M.D.
• Howard B Fox, D.C.
• Cherie Francis
• Grace Fraser
• Fresenius Medical Care San Juan Capistrano, LLC
• Ann Seaman Friedman, MFT

• Speech-Language Pathologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.