Individual provider Active NPI

Kimberly G Schmidlin, SLP

  • Speech-Language Pathologist
  • Dunn, NC
National Provider Identifier
1912914524
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3089 Issued in NC
Practice address
111 S Railroad Ave
Dunn, NC 28334-4853
Phone
(910) 892-0027
Fax
(910) 892-0029
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3089 NC Primary

Addresses

Primary practice location

111 S Railroad Ave
Dunn, NC 28334-4853

Mailing address

111 S Railroad Ave
Dunn, NC 28334-4853
Phone (910) 892-0027

Other names 1

  • Miss Kimberly Godwin Former name

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

OrganizationSpecialtyStatusNew patients
Carolina Therapy Services Inc Speech-Language Pathologist Current Accepting new patients
Trinity Rehab LLC Current Accepting new patients

Locations

111 S Railroad Ave
Dunn, NC 28334
Phone (910) 892-0027

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1912914524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S RAILROAD AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344853",
            "telephone_number": "910-892-0027",
            "fax_number": "910-892-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S RAILROAD AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344853",
            "telephone_number": "910-892-0027",
            "fax_number": "910-892-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDLIN",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GODWIN",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.