Individual provider Active NPI

Emily Gilliam Mimbs

  • Speech-Language Pathologist
  • Vestavia, AL
National Provider Identifier
1134433139
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2007 Issued in AL
Practice address
4229 Dolly Ridge Rd
Vestavia, AL 35243-5703
Phone
(205) 531-8998
NPI assigned
Aug 2, 2010
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2007 AL Primary

Addresses

Primary practice location

4229 Dolly Ridge Rd
Vestavia, AL 35243-5703

Mailing address

1047 Independence CT
Alabaster, AL 35007-9361
Phone (205) 663-8704

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1134433139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 INDEPENDENCE CT",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350079361",
            "telephone_number": "205-663-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435703",
            "telephone_number": "205-531-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMBS",
        "first_name": "EMILY",
        "middle_name": "GILLIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.