Individual provider Active NPI

Kimberley Dawn Cole, SLP

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1912486291
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010079 Issued in VA
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

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 112289 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
112289MedicaidTX
112289OtherTXCOMMERCIAL INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Abilene Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
112289TXMDSpeech-Language Pathologist
2202010079VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Speech-Language Pathologist CurrentSince Aug 23, 2024 Accepting new patients
Skills on the Hill, LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Speech Pathology of Hawaii LLC Multi-Specialty CurrentSince Aug 23, 2024 Accepting new patients
Greater Learning, LP Multi-Specialty PastSince Feb 17, 2016 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.

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.

Verify at the official NPI Registry.