Individual provider Active NPI

Kimberly Ann Smith, MS, CCC-SLP

  • Speech-Language Pathologist
  • Sacramento, CA
National Provider Identifier
1255672788
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18075 Issued in CA
Practice address
2741 Riverside Blvd
Sacramento, CA 95818-2900
Phone
(916) 426-6005
Fax
(916) 426-6005
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18075 CA Primary

Addresses

Primary practice location

2741 Riverside Blvd
Sacramento, CA 95818-2900

Mailing address

2741 Riverside Blvd
Sacramento, CA 95818-2900
Phone (916) 426-6005

Other practice location 1

2516 Goodwater Ave
Suite B
Redding, CA 96002-1559
Phone (530) 242-1511

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
18075CAMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Jul 25, 2019 Accepting new patients

Locations

2741 Riverside Blvd
Ste 2
Sacramento, CA 95818
Phone (916) 426-6005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1255672788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 RIVERSIDE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182900",
            "telephone_number": "916-426-6005",
            "fax_number": "916-426-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 RIVERSIDE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182900",
            "telephone_number": "916-426-6005",
            "fax_number": "916-426-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2516 Goodwater Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021559",
            "country_code": "US",
            "telephone_number": "530-242-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.