Active NPI
Kimberly Paige Abts, CCC-SLP, CBIS
- Speech-Language Pathologist
- Florissant, MO
National Provider Identifier
1194401620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 202310594
- Practice address
- 3501 Dunn Rd Ste 108
Florissant, MO 63033-6762 - Phone
- (314) 972-8070
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 202310594 | MO | Primary |
Addresses
Primary practice location
3501 Dunn Rd Ste 108
Florissant, MO 63033-6762
Mailing address
1323 Woodfield Manor CT
Kirkwood, MO 63122-3641
Phone (314) 814-0580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202310594 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1194401620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 WOODFIELD MANOR CT",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631223641",
"telephone_number": "314-814-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 DUNN RD STE 108",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336762",
"telephone_number": "314-972-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABTS",
"first_name": "KIMBERLY",
"middle_name": "PAIGE",
"credential": "CCC-SLP, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "202310594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.