Jill Syth Kimble, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1216 Issued in MT

Practice address

1080 New Holland Dr
Bozeman, MT 59718-5906

Phone

(406) 579-7226

NPI assigned

Apr 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill E Syth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1942443239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NEW HOLLAND DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185906",
            "telephone_number": "406-579-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NEW HOLLAND DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185906",
            "telephone_number": "406-579-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "JILL",
        "middle_name": "SYTH",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SYTH",
            "middle_name": "E",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ita M Killeen, MD
• Anne Kathryn Killian
• Colleen E. Killian, M.D.
• Joshua Weas Kilmurray, L. AC.
• Kim Hackl Anesthesia Inc
• Kind Counseling of Montana
• Heather King, DPT
• Kristi Thane King, FNP
• Molly Siddoway King, LCPC
• Elizabeth Stacy Kinion, EDD. MSN, APN-BC

• Speech-Language Pathologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.