KIMBERLY A ENNIS (NPI# 1356686026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356686026 |
| Entity Type | Individual |
| Full Name | KIMBERLY A ENNIS |
| Credential | MA, CCC-SLP |
| Practice Address |
1351 West Pine Ave. Meridian Care and Rehabilitation Center Meridian ID 83642 |
| Practice Telephone | 2088887246 |
| Mailing Telephone | 2088887246 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1152 | ID | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508138199 | Kimberly Dawn Ennis | Social Worker | 513 Lancelot Street, Grimesland, NC 27837-0567 | 2012-01-30 |
| 1275922809 | Kimberly Ennis | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-01-20 |
| 1376890053 | Kimberly Rose Ennis | Physical Therapist | 3317 N Wimberly Dr, 2nd Floor, Fayetteville, AR 72703-4056 | 2012-08-13 |
| 1750662078 | Kimberly Ennis | Physical Therapist | 719 Clinton Pkwy, Ste B, Clinton, MS 39056-5245 | 2011-08-31 |
| 1740304476 | Kimberly Renee Ennis | Social Worker | 75 Hampstead Vlg, Hampstead, NC 28443-8250 | 2007-03-19 |
| Street Address |
1351 WEST PINE AVE. MERIDIAN CARE AND REHABILITATION CENTER |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1407482037 | Emily Nester | Speech-Language Pathologist | 6900 S Anderson Rd, Meridian, MS 39301-7872 | 2020-03-15 |
| 1689157018 | Stephanie Nyland | Speech-Language Pathologist | 4317 E Palm St, Meridian, ID 83646-6336 | 2018-09-11 |
| 1336641026 | David T Hannah | Speech-Language Pathologist | 1100 Taylor Ave Ste 100, Meridian, ID 83642-7739 | 2018-03-08 |
| 1265961882 | Cameron Mitchell Pigford | Speech-Language Pathologist | 5317 33rd Pl, Meridian, MS 39305-1522 | 2017-06-07 |
| 1922458587 | Nancy Sugarman | Speech-Language Pathologist | 2584 W Wapoot Dr, Meridian, ID 83646-7293 | 2016-06-15 |
| 1295104990 | Lauren Tureaud | Speech-Language Pathologist | 306 Hill St, Meridian, MS 39305-2237 | 2015-09-23 |
| 1790183697 | Laura Kathleen Willoughby | Speech-Language Pathologist | 3882 S Capulet Ave, Meridian, ID 83642-5093 | 2014-12-09 |
| 1215271614 | Heather Diefenbach | Speech-Language Pathologist | 1351 W. Pine Ave, Meridian, ID 83642 | 2012-11-26 |
| 1922368018 | Emily K Orchard | Speech-Language Pathologist | 263 E Ironstone Ct, Meridian, ID 83646-5883 | 2012-05-22 |
| 1992080238 | Kristin M Phillips | Speech-Language Pathologist | 2165 E Oakcrest Dr, Meridian, ID 83646-7385 | 2011-10-19 |
| Find all providers in MERIDIAN | ||||
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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.