Individual provider Active NPI

Kimberly Ann Williams, MS SLP-CCC

  • Speech-Language Pathologist
  • Lawrence, KS
National Provider Identifier
1215188339
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2721 Issued in KS
Practice address
3200 Mesa Way Ste D
Lawrence, KS 66049-2343
Phone
(785) 831-3053
Fax
(785) 746-0132
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KS
Occupational Therapist 225X00000X KS
Speech-Language Pathologist 235Z00000X 2721 KS Primary

Addresses

Primary practice location

3200 Mesa Way Ste D
Lawrence, KS 66049-2343

Mailing address

1621 Bob White Dr
Lawrence, KS 66047-9305
Phone (785) 766-3217

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

LicenseStateTypeSpecialty
2721KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Speech Therapy LLC Physical Therapist CurrentSince May 22, 2022 Accepting new patients
The Capper Foundation Easter Seals Past Accepting new patients

Locations

3200 Mesa Way
Ste D
Lawrence, KS 66049
Phone (785) 760-3457

4911 Legends Dr
Lawrence, KS 66049
Phone (785) 397-2443

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1215188339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 BOB WHITE DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660479305",
            "telephone_number": "785-766-3217",
            "fax_number": "785-746-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MESA WAY STE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492343",
            "telephone_number": "785-831-3053",
            "fax_number": "785-746-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MS SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-05-19",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.