Individual provider Active NPI

Kimberly Ann Prayner, AU.D.

  • Speech-Language Pathologist
  • Fairbanks, AK
National Provider Identifier
1336491380
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPT78 Issued in AK
Practice address
1327 Kalakaket St
Fairbanks, AK 99709-4917
Phone
(907) 452-4517
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 129 AK
Speech-Language Pathologist 235Z00000X SLPT78 AK Primary

Addresses

Primary practice location

1327 Kalakaket St
Fairbanks, AK 99709-4917

Mailing address

1327 Kalakaket St
Fairbanks, AK 99709-4917
Phone (907) 452-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130325000109 AK Practitioner - Qualified Audiologist 9830334788 Reassigns benefits to 2 organizations
I20161018003002 AK Practitioner - Qualified Speech Language Pathologist 9830334788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129AKMDProfessional Counselor
SLPT78AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkabout Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1336491380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 KALAKAKET ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094917",
            "telephone_number": "907-452-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 KALAKAKET ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094917",
            "telephone_number": "907-452-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAYNER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "129",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SLPT78",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.