KIMBERLY JO HIDDLESON (NPI# 1154585123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154585123 |
| Entity Type | Individual |
| Full Name | KIMBERLY JO HIDDLESON |
| Credential | M.A., CCC-SLP |
| Practice Address |
901 Dove St Suite 280 Newport Beach CA 92660-3023 |
| Practice Telephone | 9495670025 |
| Practice Fax Number | 9495670026 |
| Mailing Telephone | 9495670025 |
| Mailing Fax Number | 9495670026 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP8075 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
901 DOVE ST SUITE 280 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225080013 | Raafat W Girgis | Psychiatry & Neurology | 901 Dove St, Suite # 145, Newport Beach, CA 92660-3023 | 2006-05-17 |
| 1174967566 | Michelle Conboy | Marriage & Family Therapist | 901 Dove St, Suite #145, Newport Beach, CA 92660-3023 | 2013-04-29 |
| 1396066684 | Sarah Mcintosh | Psychologist | 901 Dove St, Ste 150, Newport Beach, CA 92660-3018 | 2010-06-21 |
| 1760711071 | Jan M. Hansen | Specialist | 901 Dove St, Suite 150, Newport Beach, CA 92660-3023 | 2009-12-15 |
| 1609926062 | Sandra Klein | Psychologist | 901 Dove St, Suite 150, Newport Beach, CA 92660-3023 | 2007-01-10 |
| 1760556468 | Richard Nyberg | Social Worker | 901 Dove St, Suite 150, Newport Beach, CA 92660-3023 | 2006-11-17 |
| 1104925940 | Karen E. Alonso | Marriage & Family Therapist | 901 Dove St, Suite 150, Newport Beach, CA 92660-3023 | 2006-09-21 |
| 1992718969 | Phyllis M Larkin | Psychologist | 901 Dove St, Suite 150, Newport Beach, CA 92660-3023 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768761 | Courtney Skye Smith | Speech-Language Pathologist | 132 Opal Ave, Newport Beach, CA 92662-1031 | 2020-04-15 |
| 1669022133 | Kellie Cynthia La Zarr | Speech-Language Pathologist | 20162 Sw Birch St Ste 350, Newport Beach, CA 92660-0790 | 2019-09-17 |
| 1528544616 | Ruth Warner Bass | Speech-Language Pathologist | 1451 Quail St Ste 105, Newport Beach, CA 92660-2747 | 2018-07-12 |
| 1073024246 | Julia Lauren Schwartzmeyer | Speech-Language Pathologist | 2043 Westcliff Dr Ste 201, Newport Beach, CA 92660-5510 | 2017-10-16 |
| 1548621139 | Caitlin Joy Glaser | Speech-Language Pathologist | 691 Vista Bonita, Newport Beach, CA 92660-4555 | 2016-03-10 |
| 1770985491 | Elaina Marrujo | Speech-Language Pathologist | 1300 Park Newport, #206, Newport Beach, CA 92660-5008 | 2014-09-25 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1720402803 | Cora Ned | Speech-Language Pathologist | 3900 Birch St Ste 103, Newport Beach, CA 92660-2226 | 2014-02-10 |
| 1689015695 | Shea Fitzgerald | Speech-Language Pathologist | 4240 Park Newport Apt 409, Newport Beach, CA 92660-6046 | 2013-07-08 |
| 1932449329 | Lynn Nelsen | Speech-Language Pathologist | 1151 Dove St Ste 215, Newport Beach, CA 92660-2824 | 2013-02-21 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on KIMBERLY JO HIDDLESON.
| 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.