Active NPI
Kim Earnhart
- Speech-Language Pathologist
- Scottsdale, AZ
National Provider Identifier
1891156881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 10049 E Dynamite Blvd Ste 110
Scottsdale, AZ 85262-3694 - Phone
- (480) 419-0848
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
10049 E Dynamite Blvd Ste 110
Scottsdale, AZ 85262-3694
Mailing address
PO Box 10869 N. Scottsdale Rd. #103-112
Scottsdale, AZ 85260-4740
Phone (480) 425-0339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamite Therapy, LLC | Current | Accepting new patients |
Locations
10049 E Dynamite Blvd
Ste 110
Scottsdale, AZ 85262
Phone (480) 419-0848
Organizations & group practices 1
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.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1730388828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1891156881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10869 N. SCOTTSDALE RD. #103-112",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852604740",
"telephone_number": "480-425-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10049 E DYNAMITE BLVD STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852623694",
"telephone_number": "480-419-0848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNHART",
"first_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Shawn Earl
- Andrew Earle
- Marcus R Earle, PH.D.
- Ralph Harris Earle, PH.D
- Kelly Danielle Earley, ACNP
- Mila Easapour Cheshani, M.D.
- Easier Life Home Care Corp (Home Helpers Scottsdale)
- East Bell Road Dental LLC (DS Family General Dentistry)
- East Scottsdale Medical Care, PLLC
- East Scottsdale Pediatric Dental, PC (Dental Associates For Kids Only)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.