Kimberly Page Cooper, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007349 Issued in GA

Practice address

1007 Ga Highway 56 S Ste a
Swainsboro, GA 30401-5328

Phone

(478) 237-6363

Fax

(478) 237-6364

NPI assigned

Jul 1, 2010

Last updated

Sep 6, 2022By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooper Speech Services LLC

  • Speech-Language Pathologist
  • Wadley, GA
  • NPI 1730800145
  NPD (past) Authorized official
• Speech Teach Inc

  • Speech-Language Pathologist
  • Swainsboro, GA
  • NPI 1417254426
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1104137413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GA HIGHWAY 56 S STE A",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015328",
            "telephone_number": "478-237-6363",
            "fax_number": "478-237-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GA HIGHWAY 56 S STE A",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015328",
            "telephone_number": "478-237-6363",
            "fax_number": "478-237-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Main St",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013105",
            "country_code": "US",
            "telephone_number": "478-237-6363",
            "fax_number": "478-237-6364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3502 Pollett Rd",
            "address_purpose": "LOCATION",
            "city": "Wadley",
            "state": "GA",
            "postal_code": "304773538",
            "country_code": "US",
            "telephone_number": "478-469-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KIMBERLY",
        "middle_name": "PAGE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Service Board of Middle Georgia
• Community Service Board of Middle Georgia
• Community Service Board of Middle Georgia
• Community Service Board of Middle Georgia
• William F Connor, PT
• Janet Costley, RN
• Debra L Crawley-Mataosky, MD
• David W Crooke, LPC
• Crossroads Wellness PC (Central Georgia Clinic of Chiropractic)
• Lydia Lee Daley, PMHNP, BC

• Speech-Language Pathologist in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.