BETHANY KIYAH KIMBERLIN (NPI# 1073892204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073892204 |
Entity Type | Individual |
Full Name | BETHANY KIYAH KIMBERLIN |
Practice Address |
25615 N Ranch Gate Rd Scottsdale AZ 85255-2141 |
Mailing Address |
8338 E Via De La Luna Scottsdale AZ 85258-3257 |
Practice Telephone | 4802217553 |
Mailing Telephone | 4802317562 |
Enumeration Date | 2011-08-05 |
Last Update Date | 2011-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7244 | AZ | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | OTHER | 112477 | 01 |
Street Address |
25615 N RANCH GATE RD |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85255-2141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285713115 | Patricia M Kasten | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2006-11-02 |
1477179224 | Kendall Green | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2020-06-17 |
1336779768 | Erynn Paten Skoglund | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2020-01-24 |
1003373499 | Abbie Christine Villemez | Specialist/Technologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2019-02-21 |
1235605098 | Jennifer Nichole King | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2018-10-19 |
1992188262 | Jenna Small | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2015-07-06 |
1083017354 | Jessica Rapier | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2014-10-01 |
1093114092 | Annette Maynard | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2014-08-15 |
1265847172 | Haley Myers | Specialist/Technologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2014-06-30 |
1891108882 | Mary Wright | Speech-Language Pathologist | 25615 N Ranch Gate Rd, Scottsdale, AZ 85255-2141 | 2014-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
Find all providers in zip 85255 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524479 | Allison Herzog | Specialist/Technologist | 26140 N Wrangler Rd, Scottsdale, AZ 85255-1469 | 2020-09-29 |
1891328506 | Leilani Gardea | Specialist/Technologist | 6991 E Camelback Rd Ste D, Scottsdale, AZ 85251-2432 | 2020-02-20 |
1518526326 | Haley Tricia Lynn Didelotte | Specialist/Technologist | 8638 E Vista Dr, Scottsdale, AZ 85250-7444 | 2019-06-06 |
1760968499 | Gina Marie Sbragia | Specialist/Technologist | 8311 E Via De Ventura Apt 2094, Scottsdale, AZ 85258-6619 | 2018-07-16 |
1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
1265937445 | Emily Paige Lewandowski | Specialist/Technologist | 10595 E Cactus Rd, Scottsdale, AZ 85259-2903 | 2018-03-28 |
1336648575 | Taelin Marie Holloway | Specialist/Technologist | 5844 E Beck Ln, Scottsdale, AZ 85254-1813 | 2018-02-02 |
1184137952 | Tillea Baltzell | Specialist/Technologist | 8143 E Via De Dorado, Scottsdale, AZ 85258-3753 | 2017-11-14 |
1245759562 | Elena Nikolov | Specialist/Technologist | 5939 E Aire Libre Ln, Scottsdale, AZ 85254-1239 | 2017-09-18 |
1851840243 | Karen Kerr | Specialist/Technologist | 12929 N 99th St, Scottsdale, AZ 85260-4637 | 2016-09-26 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85255 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.