Individual provider Active NPI

Kirstin Kim

  • Speech-Language Pathologist
  • Cary, NC
National Provider Identifier
1194998393
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10329 Issued in NC
Practice address
6664 Lewey Dr
Cary, NC 27519
Phone
(984) 528-6210
NPI assigned
Apr 8, 2008
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
10329NCMDOrthodontics and Dentofacial Orthopedic Dentist
2820NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abletalk Speech & Language Therapy LLC Speech-Language Pathologist CurrentSince Aug 15, 2021 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.

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.

Verify at the official NPI Registry.