Kim Siegel, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01580 Issued in MO

Practice address

13623 Woodriver Dr
Kearney, MO 64060-8920

Phone

(816) 516-7297

NPI assigned

Mar 8, 2007

Last updated

Sep 12, 2011By 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

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.

• Assist Therapy, Inc.

  • Speech-Language Pathologist
  • Kearney, MO
  • NPI 1851673636
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1861523839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13623 WOODRIVER DR",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608920",
            "telephone_number": "816-516-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13623 WOODRIVER DR",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608920",
            "telephone_number": "816-516-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "KIM",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS",
            "identifier": "01580",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serc of Kearney, Inc. (SERC of Kearney)
• Serc Rebabilitation Partners, LLC
• Serc Rehabilitation Partners LLC
• Serc Rehabilitation Partners, LLC (Serc)
• Shoal Creek Family Medicine and Allergy, PC
• Clinton Eric Singleton, PT, DPT
• Lindsey Skilling, PHARMD
• Jordan Christopher Smith, OT, MSOT
• Lori D. Smith
• Mark Vernon Smith, OTR

• Speech-Language Pathologist in Kearney, MO
• Providers in Kearney, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.