Individual provider Active NPI

Kimberly Kirin, M.S.

  • Speech-Language Pathologist
  • Tuscaloosa, AL
National Provider Identifier
1023231388
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05183 Issued in MD
Practice address
8816 Old Greensboro Rd
Apt 3101
Tuscaloosa, AL 35405-8809
Phone
(205) 393-6907
NPI assigned
Apr 11, 2007
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05183 MD Primary
Speech-Language Pathologist 235Z00000X 2776 AL

Addresses

Primary practice location

8816 Old Greensboro Rd
Apt 3101
Tuscaloosa, AL 35405-8809

Mailing address

8816 Old Greensboro Rd
Apt 3101
Tuscaloosa, AL 35405-8809
Phone (205) 393-6907

Other identifiers 1

IdentifierTypeStateIssuer
05183OtherMDLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05183MDMDPsychologist
4630KSMDDentist
2776ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1023231388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 OLD GREENSBORO RD",
            "address_2": "APT 3101",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058809",
            "telephone_number": "205-393-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 OLD GREENSBORO RD",
            "address_2": "APT 3101",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058809",
            "telephone_number": "205-393-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRIN",
        "first_name": "KIMBERLY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05183",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "05183",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.