Active NPI
Kimberley Dawn Cole, SLP
- Speech-Language Pathologist
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202010079
- Practice address
- 2301 Columbia Pike
Suite 125
Arlington, VA 22204 - Phone
- (202) 544-5439
- Fax
- (202) 379-1797
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 112289 | TX | |
| Speech-Language Pathologist | 235Z00000X | 2202010079 | VA | Primary |
Addresses
Primary practice location
2301 Columbia Pike
Suite 125
Arlington, VA 22204
Mailing address
2301 Columbia Pike
Suite 125
Arlington, VA 22204
Phone (202) 544-5439
Other practice location 1
1301 Pennsylvania Ave SE Bsmt
Washington, DC 20003-3027
Phone (202) 544-5439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112289 | Medicaid | TX | |
| 112289 | Other | TX | COMMERCIAL INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Abilene | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241113001798 | HI | Practitioner - Qualified Speech Language Pathologist | 5294269254 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112289 | TX | MD | Speech-Language Pathologist |
| 2202010079 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Skills on the Hill, LLC | Multi-Specialty | Current | Accepting new patients |
| Speech Pathology of Hawaii LLC | Multi-Specialty | Current | Accepting new patients |
| Greater Learning, LP | Multi-Specialty | Past | Accepting new patients |
Locations
1301 Pennsylvania Ave SE
Bsmt
Washington, DC 20003
Phone (202) 335-7968
725 Kapiolani Blvd
Ste C206
Honolulu, HI 96813
Phone (808) 596-0099
8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Honolulu, HI
- NPI 1356673727
HI, Multi-Specialty
-
- Pediatric Occupational Therapist
- Arlington, VA
- NPI 1497046510
Multi-Specialty
-
- Rehabilitation Clinic/Center
- Honolulu, HI
- NPI 1104573237
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1912486291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 COLUMBIA PIKE",
"address_2": "SUITE 125",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22204",
"telephone_number": "202-544-5439",
"fax_number": "202-379-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 COLUMBIA PIKE",
"address_2": "SUITE 125",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22204",
"telephone_number": "202-544-5439",
"fax_number": "202-379-1797"
}
],
"practiceLocations": [
{
"address_1": "1301 Pennsylvania Ave SE Bsmt",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200033027",
"country_code": "US",
"telephone_number": "202-544-5439",
"fax_number": "202-379-1797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "KIMBERLEY",
"middle_name": "DAWN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "112289",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202010079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112289",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "112289",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Abilene",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Abilene",
"address_1": "4601 Hartford St",
"city": "Abilene",
"state": "TX",
"country_code": "US",
"postal_code": "796054603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.