Kallie Kimm

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

078698 Issued in IA

Practice address

2054 Plaen View Dr
Iowa City, IA 52246-4447

Phone

(563) 357-9981

NPI assigned

Jan 5, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1992161079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 WISCONSIN ST",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 PLAEN VIEW DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464447",
            "telephone_number": "563-357-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMM",
        "first_name": "KALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "078698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Iowa",
            "affiliation": "N",
            "address_1": "917 Wisconsin St",
            "city": "Le Claire",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527539640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sung Hoon Kim, MD
• Yun J Kim, DDS
• Kimball & Beecher Iowa City PLLC
• Ashlynn Kimball, MGC
• Jill Ann Kimm, MD
• Katherine Kimm, FNP-C
• Vanessa Alexandra Kimm, A.R.N.P
• Ryan Kimmis, MD
• Ashley King
• Dana Marie King, MD

• Speech-Language Pathologist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.