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Kimberly Ridenour

Speech-Language Pathologist β€’ Maple Valley, WA

Active NPI 1023650967 Individual Practitioner Female Practitioner
Practice location in NPPES

22443 Se 240th St Ste 206
Maple Valley, WA 980385879

Call 4253583070 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

22443 Se 240th St Ste 206

Maple Valley, WA 980385879

Telephone 4253583070
Organization at the Same NPPES Address or Phone
Relaxing Resources Facility NPI 1477035368

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maple Valley and Washington

20 active clinicians are listed under Speech-Language Pathologist with a practice address in Maple Valley, WA (4,109 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Valley

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location June 24, 2020

Registered at 22443 SE 240TH ST STE 206, MAPLE VALLEY, WA 980385879 (Tel: 4253583070)

βœ…
NPI Profile Active October 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 11, 2019

Registered at 22443 SE 240TH ST STE B101, MAPLE VALLEY, WA 980385879 (Tel: 4253061037)

πŸ“
Business Mailing Address (Initial Record) October 11, 2019

Registered at 14910 165TH PL SE, RENTON, WA 980598817 (Tel: 3602611075)

πŸ‘€
Provider Name / Credentials (Initial Record) October 11, 2019

Recorded as KIMBERLY RIDENOUR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration October 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023650967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2019
Last Update: June 24, 2020
Sole Proprietor: No

Mailing Address

14910 165th Pl Se

Renton, WA 980598817

Phone: 3602611075

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.