Kimberly Sue Jech, MS, CCC-SLP

Key facts

NPI

1174956684

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

2716 (OK)

Practice address

1400 S Oak St
Kingfisher, OK 73750-4314

Phone

(405) 375-4080

NPI assigned

Aug 20, 2013

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Kingfisher Public School Local Education Agency (LEA) · Kingfisher, OK · NPI 1699825364
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2013.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1174956684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W OVERSTREET AVE",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737503813",
            "telephone_number": "405-375-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S OAK ST",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737504314",
            "telephone_number": "405-375-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JECH",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingfisher, OK

• James Hines
• Rachel Lauren Hobson
• James Cameron Hogan, PA
• Homestead of Kingfisher Operations LLC
• Angela Rose Jackson Buck
• Jeffrey C. Danner, DDS, PLLC
• Jamie Jones-Scammahorn, L.P.C.
• Melissa C Jones, MSN
• Bridget A. Keast, PA
• Rise Lynne Kester, APRN

All providers in Kingfisher, OK · Speech-Language Pathologist in Oklahoma