Misty Noelani Kim, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI00004710 Issued in WA

Practice address

1008 Bethel Ave Ste E
Port Orchard, WA 98366-4236

Phone

(360) 871-2076

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kitsap Speech Language Pathology Services

  • Speech-Language Pathologist
  • Port Orchard, WA
  • NPI 1295953909
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1992987606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983660168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BETHEL AVE STE E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664236",
            "telephone_number": "360-871-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MISTY",
        "middle_name": "NOELANI",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI00004710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khushwant Singh DDS PLLC
• Ava Brianna Kiester
• Ciara Ryleigh Kilpatrick
• Jinkyu Kim, LD
• Jung Ha Kim, PHARMD
• Namiko King
• Elizabeth Ann Kirbow, DPT
• Erin Therese Kirby, RN
• Kitsap Childrens Clinic LLP
• Kitsap Chiropractic

• Speech-Language Pathologist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.