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KIMBERLY VAN DALSEM SPCT
NPI 1326188491
Speech-Language Pathologist in Olympia, WA

Active since February 07, 2007
700 LILLY RD NE, OLYMPIA, WA 98506(360) 923-7000 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kimberly Van Dalsem Spct NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY VAN DALSEM SPCT (NPI 1326188491) is an individual speech-language pathologist provider in Olympia, Washington, licensed in Washington (LL00004120) and active in the NPI registry since February 2007. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1326188491
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY VAN DALSEMCredential: SPCT
Location Address700 LILLY RD NEOlympia, WA 98506-5115
Mailing AddressPo Box 34584Seattle, WA 98124-1584 · (509) 241-7349 · Fax (509) 241-7628
Phone(360) 923-7000
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1326188491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · LL00004120
Definition
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.
700 LILLY RD NE, Olympia, WA 98506
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Secondary Practice Location 1

Location 14301 S Pine St, Ste 219Tacoma, WA 98409-7264 · Phone (253) 476-6500

Other Identifiers 1

Medicaid8233215WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Van Dalsem Spct is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Van Dalsem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
40 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIHAN A FERRER M.D.
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
DAVID A REMIS
Dermatology
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
MICHAEL W BALFE M.D.
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
STACY E DELL
Counselor (Mental Health)
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
GORDON WHEAT M.D.
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
MONIQUE C. SEMIEN MD
Internal Medicine (Hematology & Oncology)
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
BAHRAM BADRI
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
ELIZABETH A HOWELL MD
Obstetrics & Gynecology
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Van Dalsem's NPI number?

The NPI number for Kimberly Van Dalsem is 1326188491. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Kimberly Van Dalsem located?

Kimberly Van Dalsem practices at 700 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-7000.

What is Kimberly Van Dalsem's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kimberly Van Dalsem enrolled in Medicare?

Yes. Kimberly Van Dalsem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Van Dalsem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Van Dalsem reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Van Dalsem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Van Dalsem was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.