Active NPI
Kimela Leann Griffith, MS CCC SLP
- Speech-Language Pathologist
- Cookeville, TN
National Provider Identifier
1194994855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1171
- Practice address
- 815 Walnut Ave
NHC Healthcare Center
Cookeville, TN 38501 - Phone
- (931) 528-5516
- Fax
- (931) 528-8151
- NPI assigned
- Feb 27, 2008
- 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 | 1171 | TN | Primary |
Addresses
Primary practice location
815 Walnut Ave
NHC Healthcare Center
Cookeville, TN 38501
Mailing address
PO Box 936
Cookeville, TN 38503
Phone (931) 510-5326
Other names 1
- Miss Kimela Leann Smotherman
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatric Therapies, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Livingston, TN
- NPI 1851808091
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1194994855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38503",
"telephone_number": "931-510-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WALNUT AVE",
"address_2": "NHC HEALTHCARE CENTER",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-528-5516",
"fax_number": "931-528-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "KIMELA",
"middle_name": "LEANN",
"name_prefix": "Ms.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "1171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMELA",
"last_name": "SMOTHERMAN",
"middle_name": "LEANN",
"prefix": "MISS",
"credential": "MS CCC SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.