Kimberly Moody, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2485 Issued in KS

Practice address

7719 W 11TH St N
Wichita, KS 67212-3006

Phone

(316) 655-1636

NPI assigned

Jun 1, 2007

Last updated

Jan 22, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Prime Fit Youth Foundation

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1538954672
  NPD Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1326240433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 W 11TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123006",
            "telephone_number": "316-773-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 W 11TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123006",
            "telephone_number": "316-655-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KIMBERLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2485",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shendall Montgomery
• Montoya Family Practice, PA
• Jacqueline Montoya, PHARMD
• Natalia A Montoya, M.D.
• Stacey Montoya, LPC
• Morgan Rae Mooney, DNP, APRN, FNP-C
• Angie Marie Mooneyham, M.S. LMFT
• Alison Anne Moore, DC
• Amber Noel Moore, PMHNP-BC
• Angela Beth Moore, LCMFT

• Speech-Language Pathologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.