Active NPI
Kimberlee White, CCC-SLP
- Speech-Language Pathologist
- Whiteville, NC
National Provider Identifier
1306041249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4506
- Practice address
- 123 E Columbus Street
Whiteville, NC 28472 - Phone
- (910) 640-0856
- Fax
- (910) 640-0857
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4506 | NC | Primary |
Addresses
Primary practice location
123 E Columbus Street
Whiteville, NC 28472
Mailing address
PO Box 1288
Lumberton, NC 28359
Phone (910) 671-9629
Other practice location 1
106 South Lee Street
Whiteville, NC 28472
Phone (910) 671-9629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211405 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4506 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Solutions Inc | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1467485367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1306041249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28359",
"telephone_number": "910-671-9629",
"fax_number": "910-671-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E COLUMBUS STREET",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "28472",
"telephone_number": "910-640-0856",
"fax_number": "910-640-0857"
}
],
"practiceLocations": [
{
"address_1": "106 South Lee Street",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "28472",
"country_code": "US",
"telephone_number": "910-671-9629",
"fax_number": "910-671-9630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "KIMBERLEE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211405",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.