Individual provider Active NPI

Kimberlee Bishop, SLP

  • Speech-Language Pathologist
  • Nashua, NH
National Provider Identifier
1922357631
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1694 Issued in NH
Practice address
18 Simon St
Nashua, NH 03060-3009
Phone
(603) 883-8205
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 Pathologist 235Z00000X 2202006136 VA
Speech-Language Pathologist 235Z00000X 1694 NH Primary

Addresses

Primary practice location

18 Simon St
Nashua, NH 03060-3009

Mailing address

18 Simon St
Nashua, NH 03060-3009
Phone (603) 883-8205

Other practice location 1

4231 35th St S
Apt. A1
Arlington, VA 22206-1830
Phone (860) 614-6260

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

State licenses

LicenseStateTypeSpecialty
1694NHMDSpeech-Language Pathologist
2202006136VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Community Services PastSince Jul 24, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922357631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SIMON ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603009",
            "telephone_number": "603-883-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SIMON ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603009",
            "telephone_number": "603-883-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4231 35th St S",
            "address_2": "Apt. A1",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222061830",
            "country_code": "US",
            "telephone_number": "860-614-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KIMBERLEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006136",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.