Kimberly Ann Egberts, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP518 Issued in ME

Practice address

500 Route 1
Suite #23
Yarmouth, ME 04096-4711

Phone

(207) 653-8263

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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

• Kimberly a. Egberts & Assoc.

  • Speech-Language Pathologist
  • Yarmouth, ME
  • NPI 1770702151
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063546141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ROCK RIDGE RUN",
            "city": "CUMBERLAND CENTER",
            "state": "ME",
            "postal_code": "040213730",
            "telephone_number": "207-829-4763",
            "fax_number": "207-829-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 1",
            "address_2": "SUITE #23",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964711",
            "telephone_number": "207-653-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERTS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew S Douglas, PT
• Lynda A Doyle, EDD CLINICAL COUNSEL
• Dr Susan J Cook PA
• Edith T. Dubord, LCSW, LADC
• Mary Edgerton, MOTR/L
• Elizabeth B. Pierce, DO, PA
• Ellen Smith-Erb LCSW LLC
• Christina Ernst, LMT
• Douglas Gardner Ertman, M.D.
• William John Estrella, PHARMD

• Speech-Language Pathologist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.