Active NPI
Kirstin Kim
- Speech-Language Pathologist
- Cary, NC
National Provider Identifier
1194998393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10329
- Practice address
- 6664 Lewey Dr
Cary, NC 27519 - Phone
- (984) 528-6210
- NPI assigned
- Apr 8, 2008
- Last updated
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2820 | NM | |
| Speech-Language Pathologist | 235Z00000X | 10329 | NC | Primary |
Addresses
Primary practice location
6664 Lewey Dr
Cary, NC 27519
Mailing address
6664 Lewey Dr
Cary, NC 27519
Phone (984) 528-6210
Other practice location 1
111 Plano Dr
Durham, NC 27703-9372
Phone (505) 660-8308
Other names 1
- Abletalk Speech and Language Therapy Services
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 |
|---|---|---|---|
| 10329 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 2820 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abletalk Speech & Language Therapy LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Cary, NC
- NPI 1942975388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1194998393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6664 LEWEY DR",
"city": "CARY",
"state": "NC",
"postal_code": "27519",
"telephone_number": "984-528-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6664 LEWEY DR",
"city": "CARY",
"state": "NC",
"postal_code": "27519",
"telephone_number": "984-528-6210"
}
],
"practiceLocations": [
{
"address_1": "111 Plano Dr",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277039372",
"country_code": "US",
"telephone_number": "505-660-8308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "KIRSTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "2820",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABLETALK SPEECH AND",
"last_name": "SERVICES",
"middle_name": "LANGUAGE THERAPY",
"credential": "ABLETALK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.