Kimberly M Mitchell, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107181 Issued in TX

Practice address

5302 Janelle Dr
Killeen, TX 76549-5666

Phone

(254) 699-3933

Fax

(254) 526-8604

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ir Rehab PC

  dba Integrity Rehab

  • Rehabilitation Clinic/Center
  • Killeen, TX
  • NPI 1245785146
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1265789937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 JANELLE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495666",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 JANELLE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495666",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Henry Mitchell, PA
• Deborah Michelle Mitchell, NNP-BC
• Jeanice Amy Mitchell, MPT
• Karen-Mae Mitchell, MD
• Kidada A Mitchell, OTR
• Ricky D Mitchell, M.D.
• Mollye Katherine Mlcak, PT, DPT
• MLMD PA
• Jonathan Dean Mock, MD
• Raechelle Angelee Moffett, CEO, LVN

• Speech-Language Pathologist in Killeen, TX
• Providers in Killeen, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.