Kimberly Anne Spradlin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1865 Issued in KY

Practice address

181 Old Whitley Rd
London, KY 40744-8211

Phone

(606) 330-0223

Fax

(606) 330-0228

NPI assigned

Aug 16, 2021

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

Other identifiers 1

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.

• Alexander and Associates Speech Language Pathology LLC

  • Speech-Language Pathologist
  • London, KY
  • NPI 1942675608
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1124793633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CATALPA CT",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447072",
            "telephone_number": "606-424-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD WHITLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448211",
            "telephone_number": "606-330-0223",
            "fax_number": "606-330-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "1865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GN-125",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soulshine Behavioral Health
• Southeast Kentucky Behavioral Health
• Reida A Sowden, CRNA
• Spectrum Care Academy, Inc.
• Spectrum Care Academy, Inc.
• Trisha A Spray, APRN
• Deepak Srivastava, M.D.
• Sarah Huffman Stanifer, O.D.
• Shelley Bundy Stanko, M.D
• Kenneth Randall Starkey, PSYD

• Speech-Language Pathologist in London, KY
• Providers in London, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.