MR. KIMBALL B FORBES (NPI# 1821082512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082512 |
| Entity Type | Individual |
| Full Name | MR. KIMBALL B FORBES |
| Credential | MCD FAAA |
| Practice Address |
1490 E Foremaster Dr Ste 360 St George UT 84790-4488 |
| Practice Telephone | 4356888866 |
| Practice Fax Number | 4356882882 |
| Mailing Telephone | 4356888866 |
| Mailing Fax Number | 4356882882 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1090604101 | UT | Speech, Language and Hearing Service Providers |
| Street Address |
1490 E FOREMASTER DR STE 360 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623092 | Jeffrey Lee Stewart | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2005-07-21 |
| 1396256293 | Craniom | Specialist/Technologist, Other | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2017-10-18 |
| 1790221687 | Wendy Utley | Nurse Practitioner | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2017-01-16 |
| 1033662705 | Brittany Garcia | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2016-07-29 |
| 1609252691 | Coral Desert Foot & Ankle PC | Durable Medical Equipment & Medical Supplies | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2015-08-03 |
| 1629480769 | Jacob Burrows | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2014-05-23 |
| 1740605963 | Ivo Kekoa Hanza | Nurse Practitioner | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2014-02-25 |
| 1578985438 | Emere Utah LLC | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 260, St George, UT 84790-4488 | 2014-01-13 |
| 1760752943 | Central Utah Clinic, P.C. | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 | 2012-01-05 |
| 1568754364 | Nathan W Aston | Physician Assistant | 1490 E Foremaster Dr, #150, St George, UT 84790-4488 | 2011-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225524192 | Heather Annette Smith | Audiologist | 1490 E Foremaster Dr Ste 360, St George, UT 84790-4508 | 2018-07-03 |
| 1861826075 | Steven Lewis | Audiologist | 617 E Riverside Dr Ste 201, St George, UT 84790-8721 | 2013-08-23 |
| 1548429269 | Shane David Walker | Audiologist | 230 N 1680 E Bldg N, St George, UT 84790-2579 | 2008-06-06 |
| 1902087547 | Dixie Hearing & Balance Center | Audiologist | 1054 East Riverside Dr, Suite 201, St George, UT 84790-4825 | 2007-11-26 |
| 1770645715 | Pamela Ellen Montgomery-earl | Audiologist | 161 W 200 N Ste 101, St George, UT 84770-2728 | 2006-12-15 |
| 1609818905 | Richard Layne Luekenga Jr. | Audiologist | 1054 East Riverside Dr., Suite 201, St George, UT 84790-4825 | 2006-06-12 |
| 1013994631 | Jeffrey A. Manwaring | Audiologist | 1490 East Foremaster Drive, Suite 140, St George, UT 84790-4488 | 2005-12-23 |
| 1366000952 | Rachael Ariminta Gehmlich | Audiologist | 1054 E Riverside Dr Ste 201, St George, UT 84790-4829 | 2019-05-30 |
| 1740846682 | Braden Syphus | Audiologist | 230 N 1680 E, St George, UT 84790-2579 | 2019-05-16 |
| 1033662705 | Brittany Garcia | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2016-07-29 |
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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.