Katherine Wimberly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

340 16TH Ave N Ste B
Jacksonville Beach, FL 32250-4819

Phone

(904) 249-8893

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1063197663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MONUMENT RD APT 1608",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256461",
            "telephone_number": "803-225-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 16TH AVE N STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504819",
            "telephone_number": "904-249-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Warner Williams Jr., LMHC
• Jon Christopher Williams, DMD
• Stacey Lynn Williams, ARNP
• Wendell Hiebert Williams Jr., MD
• Alesha Wilson, FNP-C
• Gary Winfield, MD
• Glynnis Marie Winfree, APRN
• Katherine Mae Efstration Winham, LMFT
• Steven L. Wise, PSY.D.
• Dineen Helen Wolfersheim

• Speech-Language Pathologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.