Kimberly Kysar, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2942 Issued in OK

Practice address

11720 Silver Oak LN
Guthrie, OK 73044-5030

Phone

(405) 315-3092

NPI assigned

Feb 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• My Ability Speech Therapy LLC

  • Speech-Language Pathologist
  • Guthrie, OK
  • NPI 1134825110
  NPD

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1245937101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 PANTHER WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 SILVER OAK LN",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445030",
            "telephone_number": "405-315-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYSAR",
        "first_name": "KIMBERLY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houston Christopher Joy, APRN
• Sycheekia D King
• Charles Michael Kissick, LADC, LPC, ICAADC
• Karen Lynn Kissick, CASE MANAGER
• Christopher S Koenig, DPH
• L.C.a.R.C.,Inc
• John Douglas Lassiter, D.PH.
• Alana Lawson
• Jennifer Lynn Pursell Lemon, M.ED.
• Mary Lenihan, M.S. , CCC-SLP

• Speech-Language Pathologist in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.